Individual provider Active NPI

Sushma Chowdhary, MD

  • Internal Medicine Physician
  • Hernando, MS
National Provider Identifier
1568469237
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18797 Issued in MS
Practice address
900 E Commerce St
Hernando, MS 38632-2433
Phone
(662) 429-9111
Fax
(662) 429-6111
NPI assigned
Jul 7, 2005
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18797 MS Primary

Addresses

Primary practice location

900 E Commerce St
Hernando, MS 38632-2433

Mailing address

900 E Commerce St
Hernando, MS 38632-2433
Phone (662) 429-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1568469237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322433",
            "telephone_number": "662-429-9111",
            "fax_number": "662-429-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322433",
            "telephone_number": "662-429-9111",
            "fax_number": "662-429-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHARY",
        "first_name": "SUSHMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.