Organization Active NPI

American Telestroke & Neurology Inc

  • Neurology Physician
  • Brandon, FL
National Provider Identifier
1073090197
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
AMERICAN TELESTROKE & NEUROLOGY INC
Practice address
413 W Robertson St Ste B
Brandon, FL 33511-5014
Phone
(813) 337-6178
Fax
(813) 337-6179
NPI assigned
Jul 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zahid I Choudary, MDNPI 1801114160
Title
Owner
Phone
(813) 337-6178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

413 W Robertson St Ste B
Brandon, FL 33511-5014

Mailing address

9405 Toulon Blvd
Seffner, FL 33584-2621
Phone (813) 337-6178

Other identifiers 1

IdentifierTypeStateIssuer
ME111084OtherFLSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702000088 FL Part B Supplier - Clinic/Group Practice 9133542566 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

413 W Robertson St
Ste B
Brandon, FL 33511
Phone (813) 657-4711

500 Vonderburg Dr
Ste 215
Brandon, FL 33511
Phone (813) 337-6178

165 W Robertson St
Brandon, FL 33511
Phone (813) 654-4466

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1073090197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 TOULON BLVD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335842621",
            "telephone_number": "813-337-6178",
            "fax_number": "813-433-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W ROBERTSON ST STE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115014",
            "telephone_number": "813-337-6178",
            "fax_number": "813-337-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN TELESTROKE & NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "CHOUDARY",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-337-6178",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME111084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.