Active NPI
Sanjay K. Choudhary, MD
- Internal Medicine Physician
- Berea, OH
National Provider Identifier
1962691329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 82588
- Legal business name
- SANJAY K. CHOUDHARY, MD
- Practice address
- 276 W Bagley Rd
Berea, OH 44017-1878 - Phone
- (440) 816-1888
- Fax
- (440) 816-0786
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjay K Choudhary, MD
- Title
- Owner
- Phone
- (440) 816-1888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 82588 | OH | Primary |
Addresses
Primary practice location
276 W Bagley Rd
Berea, OH 44017-1878
Mailing address
276 W Bagley Rd
Berea, OH 44017-1878
Phone (440) 816-1888
National Provider Directory
National Provider DirectoryLocations
276 W Bagley Rd
Berea, OH 44017
Phone (440) 239-8389
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Berea, OH
- NPI 1063413300
-
- Pediatrics Physician
- Beachwood, OH
- NPI 1295736874
-
- Community Health Registered Nurse
- Berea, OH
- NPI 1801036991
-
- Internal Medicine Physician
- Westlake, OH
- NPI 1467430223
-
- Internal Medicine Physician
- Parma Heights, OH
- NPI 1841385119
-
- Family Medicine Physician
- The Villages, FL
- NPI 1144212218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1962691329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171878",
"telephone_number": "440-816-1888",
"fax_number": "440-816-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171878",
"telephone_number": "440-816-1888",
"fax_number": "440-816-0786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJAY K. CHOUDHARY, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "CHOUDHARY",
"authorized_official_first_name": "SANJAY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-816-1888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "82588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.