Provider Demographics
NPI:1447514823
Name:CHUGHTAI, HIRA SHAHID
Entity type:Individual
Prefix:DR
First Name:HIRA
Middle Name:SHAHID
Last Name:CHUGHTAI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2574 SUN VALLEY DRIVE
Mailing Address - Street 2:STE 100
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018
Mailing Address - Country:US
Mailing Address - Phone:262-337-9745
Mailing Address - Fax:262-337-9780
Practice Address - Street 1:2574 SUN VALLEY DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018
Practice Address - Country:US
Practice Address - Phone:262-337-9745
Practice Address - Fax:262-337-9780
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6898-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist