Healthcare Provider Details

I. General information

NPI: 1710197363
Provider Name (Legal Business Name): MUHAMMAD I CHOUDHRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 EUREKA ST
WEATHERFORD TX
76086-5807
US

IV. Provider business mailing address

945 HILLTOP DR
WEATHERFORD TX
76086-5891
US

V. Phone/Fax

Practice location:
  • Phone: 817-599-1200
  • Fax: 817-341-7245
Mailing address:
  • Phone: 817-458-4985
  • Fax: 469-405-5441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301089288
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301089288
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberN0701
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: