Provider Demographics
NPI:1528849809
Name:CHAUDHRY, MUSTAFA BELAL HAFEEZ (MD, FCPS, EBIR)
Entity type:Individual
Prefix:
First Name:MUSTAFA BELAL
Middle Name:HAFEEZ
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD, FCPS, EBIR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 HOLIDAY DR APT 72
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-5579
Mailing Address - Country:US
Mailing Address - Phone:832-871-7175
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BOULEVARD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0709
Practice Address - Country:US
Practice Address - Phone:409-747-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100845372085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology