Pervaz M. Choudry, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35376 Issued in WI

Practice address

5266 Thornberry Dr
Rockford, IL 61114-6395

Phone

(815) 877-2587

NPI assigned

Oct 17, 2005

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1326037029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 THORNBERRY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146395",
            "telephone_number": "815-877-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 THORNBERRY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146395",
            "telephone_number": "815-877-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDRY",
        "first_name": "PERVAZ",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "35376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiro One Wellness Center of Rockford LLC
• Chiropractic First of Rockford
• Solab Chitrakar, MD
• Michael J Chmell, M.D.
• Samira Mahbub Choudhury, LPC
• Kingshuk Robin Chowdhury, M.D.
• Paul Mark Christensen, M.D.
• Sarah Christensen, RDN, LDN
• Beth A Christiansen, APN
• Christopher Greenwaldt, DMD, P.C.

• Emergency Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.