MEDICARE: DR. ARIF RIAZ CHAUDHRY 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	208200000X	Plastic Surgery Physician	60701	MN

General Provider Information

NPI Number	:	1821223876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIF RIAZ CHAUDHRY MD

Provider Business Mailing Address
First Line	:	8032 OLD CARRIAGE CT # 107
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-3156
Country	:	US
Telephone Number	:	952-333-6917
Fax Number	:	612-460-9937

Provider Business Practice Location Address
First Line	:	15450 MN-7
Second Line	:	SUITE 225
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	952-333-6917
Fax Number	:	612-460-9937

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

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	04/10/2026

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