Active NPI
Gohar Choudhary, M.D
- Child & Adolescent Psychiatry Physician
- South Riding, VA
National Provider Identifier
1548572290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101252060
- Practice address
- 43130 Amberwood PLZ
Suite 140
South Riding, VA 20152-4105 - Phone
- (703) 348-0030
- Fax
- (703) 542-7770
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101252060 | VA | Primary |
Addresses
Primary practice location
43130 Amberwood PLZ
Suite 140
South Riding, VA 20152-4105
Mailing address
43130 Amberwood PLZ
Suite 140
South Riding, VA 20152-4105
Phone (703) 348-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252060 | VA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1548572290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43130 AMBERWOOD PLZ",
"address_2": "SUITE 140",
"city": "SOUTH RIDING",
"state": "VA",
"postal_code": "201524105",
"telephone_number": "703-348-0030",
"fax_number": "703-542-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43130 AMBERWOOD PLZ",
"address_2": "SUITE 140",
"city": "SOUTH RIDING",
"state": "VA",
"postal_code": "201524105",
"telephone_number": "703-348-0030",
"fax_number": "703-542-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHARY",
"first_name": "GOHAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101252060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Riding, VA
- Carl M Steger DDS & Associates, PLLC (South Riding Family Dentistry)
- Carl M. Steger, DDS & Associates, PLLC (South Riding Family Dentistry)
- Chiron Diagnostics, LLC
- Chiron Physical Therapy LLC
- Chiron Physical Therapy of VA, LLC
- Jennifer K Clark, PH.D.
- Cornerstone Therapy Center & Preschool, LLC
- Monica Truong Dinh, D.D.S., M.S.
- Dominion Center for Behavioral Health Services
- Dream Smile Family Dentistry, PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.