Provider Demographics
NPI:1255365466
Name:CHAUDHARY, RIZVON (MD)
Entity type:Individual
Prefix:DR
First Name:RIZVON
Middle Name:
Last Name:CHAUDHARY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2917
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-2917
Mailing Address - Country:US
Mailing Address - Phone:606-218-3500
Mailing Address - Fax:606-218-4562
Practice Address - Street 1:911 BYPASS RD
Practice Address - Street 2:2ND FLOOR CLINIC
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1689
Practice Address - Country:US
Practice Address - Phone:606-218-3500
Practice Address - Fax:606-218-4562
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.124500207RN0300X
MI4301063106207RN0300X
IL036162823207RN0300X
MO2022049037207RN0300X
WI2538-320207RN0300X
IN01075602A207RN0300X
TN67332207RN0300X
KY47094207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100293160Medicaid
KYK137570Medicare PIN
OG36045OtherMEDICARE NUMBER
H60249Medicare UPIN