Intracoastal Primary Health Care, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME59508 Issued in FL

Legal business name

INTRACOASTAL PRIMARY HEALTH CARE, INC

Doing business as

Intracoastal primary health

Practice address

935 Intracoastal Dr
Fort Lauderdale, FL 33304-3623

Phone

(954) 530-7515

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Kumar Chowdhary, M.D.

Title

Owner

Phone

(954) 530-7515

Specialties & licenses 2

Addresses

Other names 1

• Intracoastal primary health Doing business as

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1922342229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 INTRACOASTAL DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043623",
            "telephone_number": "954-530-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 INTRACOASTAL DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043623",
            "telephone_number": "954-530-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRACOASTAL PRIMARY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "CHOWDHARY",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-530-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intracoastal primary health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Nov 27, 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.