Organization Active NPI

Sanjay K. Choudhary, MD

  • Internal Medicine Physician
  • Berea, OH
National Provider Identifier
1962691329
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82588 Issued in OH
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

Updated by the provider on Oct 22, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.