Individual provider Active NPI

Fiaz Choudhri, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Albany, NY
National Provider Identifier
1780756544
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
108669 Issued in NY
Practice address
920 Lark Drive
Whitney M. Young Jr. Health Center
Albany, NY 12207
Phone
(518) 465-4771
Fax
(518) 242-4770
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 108669 NY Primary

Addresses

Primary practice location

920 Lark Drive
Whitney M. Young Jr. Health Center
Albany, NY 12207

Mailing address

920 Lark Drive
Whitney M. Young Jr. Health Center
Albany, NY 12207
Phone (518) 465-4771

Other identifiers 1

IdentifierTypeStateIssuer
108669OtherNYLICENSE

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780756544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LARK DRIVE",
            "address_2": "WHITNEY M. YOUNG JR. HEALTH CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12207",
            "telephone_number": "518-465-4771",
            "fax_number": "518-242-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LARK DRIVE",
            "address_2": "WHITNEY M. YOUNG JR. HEALTH CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12207",
            "telephone_number": "518-465-4771",
            "fax_number": "518-242-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRI",
        "first_name": "FIAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "108669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "108669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.