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

Khalid I Chaudhry, MD

Individual provider Psychiatry Physician · NPI 1104921766

Khalid I Chaudhry, MD is a Psychiatry in Fond Du Lac, Wisconsin. Qualified in 1991, 35 years ago. Practices with Sbh-Green Bay LLC, a 7-clinician group and works from 2 locations. Licensed in New York and Wisconsin.

Years since qualifying
35
Licensed in
NY, WI
In the registry since
2006
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

459 E 1st St
Fond Du Lac, WI 54935-4505
Phone: (920) 929-3500
Fax: (920) 929-3129
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Village Ave, Rockville Centre, NY 11570-3767 — (347) 247-9172

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 66397 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 228976 (NY)

Record details

NPI number1104921766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address1351 Ontario Rd, Green Bay, WI 54311-8302

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Sbh-Green Bay Llc — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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