Active NPI
Mustafizur Choudhury LLC
- Critical Care Medicine (Internal Medicine) Physician
- Warren, MI
National Provider Identifier
1558829333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- MUSTAFIZUR CHOUDHURY LLC
- Doing business as
- Mustafizur Choudhury LLC
- Practice address
- 3148 Esch Dr
Warren, MI 48091-1651 - Phone
- (586) 291-8255
- NPI assigned
- Mar 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mustafizur Choudhury, DO
- Title
- President
- Phone
- (586) 291-8255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
3148 Esch Dr
Warren, MI 48091-1651
Mailing address
3148 Esch Dr
Warren, MI 48091-1651
Phone (586) 291-8255
Other names 1
- Mustafizur Choudhury LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1073877999
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1558829333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 ESCH DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480911651",
"telephone_number": "586-291-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 ESCH DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480911651",
"telephone_number": "586-291-8255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTAFIZUR CHOUDHURY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-11",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "CHOUDHURY",
"authorized_official_first_name": "MUSTAFIZUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-291-8255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mustafizur Choudhury LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mustafizur Choudhury LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.