Mohammed G Choudhury, Mdpa.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0068711 Issued in FL

Legal business name

MOHAMMED G CHOUDHURY, MDPA.

Practice address

155 NW Enterprise Way
Lake City, FL 32055-8837

Phone

(386) 755-9457

Fax

(386) 755-3369

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mohammed G Choudhury, MDNPI 1467462069

Title

Ceo

Phone

(386) 755-9457

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed G Choudhury, MD

  • Internal Medicine Physician
  • Lake City, FL
  • NPI 1467462069
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1699798074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1804",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320561804",
            "telephone_number": "386-755-9457",
            "fax_number": "386-755-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NW ENTERPRISE WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558837",
            "telephone_number": "386-755-9457",
            "fax_number": "386-755-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED G CHOUDHURY, MDPA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-755-9457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068711",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93282",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0068711",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME93282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378589100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy J Mobley, M.ED
• Denise R Mobley, LCSW
• Mavis M Mobley
• Mohammad Ali Faisal Mdpa
• Mohammad Ali Faisal, M.D., P.a.
• Chandler Vimal Mohan, M.D.
• Eileen Molyet, CRNA
• Joseph Frank Mondschein, M.D.
• Monica L Craig NP-C LLC (Integrative Direct Primary Care)
• Rachel Monroe

• Internal Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.

Verify at the official NPI Registry.