Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0102203078 | VA |
Y | 207P00000X | Emergency Physician | P4430 | TX |
N | 207PP0204X | Pediatric Emergency Physician | P4430 | TX |
N | 2080P0204X | Pediatric Emergency Doctor | P4430 | TX |
NPI | 1073755773 |
---|---|
Provider Name | Hassan Mahmood Chaudhary |
First Address | Houston, TX 77030-1608 |
Second Address | Houston, TX 77030-1608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2009 |
Last Update Date | 29/05/2014 |