Chaudhry, Shujahat Ali

Chaudhry, Shujahat Ali is an individual health care provider with primary practice located at 5900 S Lake Dr , Cudahy WI 53110-3171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chaudhry, Shujahat Ali can be contacted via phone (414) 489-4190.

Contact Information

Primary practice address
5900 S Lake Dr Cudahy WI 53110-3171
Phone: (414) 489-4190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 75447 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1184112963
LBN Legal business name Chaudhry, Shujahat Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2018
Last updated Nov 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184112963 NPPES
Wisconsin MEDICAID 100178536

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