Organization Active NPI

Golam S Choudhury, MD LTD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1720348451
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3742 Issued in NV
Legal business name
GOLAM S CHOUDHURY, MD LTD
Practice address
3121 S Maryland Pkwy
Suite 414
Las Vegas, NV 89109-2307
Phone
(702) 731-5113
Fax
(702) 734-8381
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Golam S Choudhury, M.D.
Title
Owner
Phone
(702) 731-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 3742 NV Primary

Addresses

Primary practice location

3121 S Maryland Pkwy
Suite 414
Las Vegas, NV 89109-2307

Mailing address

PO Box 96475
Las Vegas, NV 89193-6475
Phone (702) 731-5113

National Provider Directory

National Provider Directory

Locations

3121 S Maryland Pkwy
Ste 414
Las Vegas, NV 89109
Phone (702) 731-5113

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1720348451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96475",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891936475",
            "telephone_number": "702-731-5113",
            "fax_number": "702-734-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S MARYLAND PKWY",
            "address_2": "SUITE 414",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092307",
            "telephone_number": "702-731-5113",
            "fax_number": "702-734-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLAM S CHOUDHURY, MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "CHOUDHURY",
        "authorized_official_first_name": "GOLAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-731-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.