| Organization Name: | CHAUDHRY CLINIC |
| NPI Number: | 1811136682 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RIAZ M. CHAUDHRY (OWNER) |
| Mailing Address: | 11809 Hwy 84 W. Jena |
| State: | LA US |
| Postal Code: | 71342 |
| Phone Number: | 3189924133 |
| Fax Number: | 3189924134 |
| NPI Enumeration Date: | 02/18/2009 |
| NPI Last Update Date: | 05/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 3939R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |