Provider Demographics
NPI:1912904996
Name:CHAUDHARY, HUMAIRA KHAWAJA (MD)
Entity type:Individual
Prefix:MRS
First Name:HUMAIRA
Middle Name:KHAWAJA
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:145 PROMENADE WAY STE 3
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7225
Mailing Address - Country:US
Mailing Address - Phone:281-205-8900
Mailing Address - Fax:281-898-7615
Practice Address - Street 1:145 PROMENADE WAY STE 3
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7225
Practice Address - Country:US
Practice Address - Phone:281-205-8900
Practice Address - Fax:281-898-7615
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6046207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB116859Medicare PIN
TX8L27403Medicare PIN