Maxi Theodorine Chousand, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K8078 Issued in TX

Practice address

300 W Rosedale St
Fort Worth, TX 76104-4856

Phone

(817) 882-6003

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastland Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Eastland, TX
  • NPI 1023353752
  NPD (past)
• Eastland Memorial Hospital District

  • General Acute Care Hospital
  • Eastland, TX
  • NPI 1689650921
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

• Meihati Soemijarsih Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366460941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 GREEN OAK DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104224",
            "telephone_number": "972-307-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044856",
            "telephone_number": "817-882-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUSAND",
        "first_name": "MAXI",
        "middle_name": "THEODORINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEIHATI",
            "last_name": "SOEMIJARSIH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Swati Choudhry, MD
• Zohra Anita Choudhry, MD
• Ryan Choudhury, MD
• Elie B Choufani, M.D.
• Rajendra Singh Chouhan, M.D.
• Anita W Chow, MD
• Tanawush Chowdhry, DDS
• Ashwini Chowdhury, M.D
• Mashrin Lira Chowdhury
• Mostaque Hossain Chowdhury, MD

• All providers in Fort Worth, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.