Choudhrymd, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHOUDHRYMD, LLC

Practice address

604 W 6TH St
Rolla, MO 65401-2941

Phone

(573) 202-3969

Fax

(573) 341-8581

NPI assigned

Feb 21, 2024

Organization subpart

No

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

Authorized official

Name

Numan Choudhry, MDNPI 1528591633

Title

Provider

Phone

(573) 202-3969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Numan Choudhry, M.D.

  • Family Medicine Physician
  • Lake Saint Louis, MO
  • NPI 1528591633
  NPD Authorized official

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1245096924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012941",
            "telephone_number": "573-202-3969",
            "fax_number": "573-341-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012941",
            "telephone_number": "573-202-3969",
            "fax_number": "573-341-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOUDHRYMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "NUMAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "573-202-3969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Rolla, MO
• Providers in Rolla, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.