Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD036267L | PA |
NPI | 1033173489 |
---|---|
Provider Name | Rahat Mahmood Chaudhry |
First Address | Mckeesport, PA 15132-2403 |
Second Address | Mckeesport, PA 15132-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000604755000131 | (05) | PA |
C29611 | (02) | PA |