Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shabnum Ilyas Chaudhery, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1790906923

Dr. Shabnum Ilyas Chaudhery, MD is a Pathology in Shreveport, Louisiana. Qualified in 2004, 22 years ago. Practices with Michael a Deck MD PA, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
22
Licensed in
GA, LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71130-3932
Phone: (318) 675-5860
Fax: (318) 675-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD.204957 (LA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 001229 (GA)

Record details

NPI number1790906923
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Michael A Deck Md Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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