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1194836676

NPI Code Detail

MEDICARE: DR. SHEHZAD HAFIZ CHOUDRY MD

MEDICARE: DR. SHEHZAD HAFIZ CHOUDRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	200501013	NC
2	208VP0014X	Interventional Pain Medicine Physician	2005-01013	NC
3	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	ME141780	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00298080	OTHER	NC	RAILROAD-MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141C2	OTHER	NC	BCBS NC
2	E4062	OTHER	NC	MEDCOST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	806154	OTHER	NC	PARTNERS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	8913923	OTHER	NC	CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194836676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEHZAD HAFIZ CHOUDRY MD

Provider Business Mailing Address
First Line	:	89 W COPELAND DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2002
Country	:	US
Telephone Number	:	321-841-1570
Fax Number	:	321-841-1569

Provider Business Practice Location Address
First Line	:	89 W COPELAND DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2002
Country	:	US
Telephone Number	:	321-841-1570
Fax Number	:	321-841-1569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/23/2021

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Directions to “ DR. SHEHZAD HAFIZ CHOUDRY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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