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NPI Code Detail

MEDICARE: DR. SHAZIA R CHAUDHRY M.D.

MEDICARE: DR. SHAZIA R CHAUDHRY M.D.
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
1207R00000XInternal Medicine Physician35 085685OH
2207P00000XEmergency Medicine Physician036-114165IL
3207R00000XInternal Medicine Physician036114165IL
4207R00000XInternal Medicine Physician2006015214MO

General Provider Information

NPI Number : 1336115039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAZIA R CHAUDHRY M.D.
Provider Business Mailing Address
First Line : 1507 SPRINGFIELD PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1437
Country : US
Telephone Number : 513-821-6500
Fax Number : 513-821-4333
Provider Business Practice Location Address
First Line : 1507 SPRINGFIELD PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1437
Country : US
Telephone Number : 513-821-6500
Fax Number : 513-821-4333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 10/27/2025

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