Choudhury, Mohammed G
Choudhury, Mohammed G is an sole proprietor health care provider with primary practice located at 155 Nw Enterprise Way , Lake City FL 32055-8837. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Choudhury, Mohammed G can be contacted via phone (386) 755-9457.Contact Information
Primary practice address
155 Nw Enterprise Way
Lake City FL 32055-8837
Phone: (386) 755-9457
Fax: (386) 755-3369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME68711 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME68711 | Florida |
Profile Details
| NPI number | 1467462069 |
|---|---|
| LBN Legal business name | Choudhury, Mohammed G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Aug 28th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467462069 | NPPES |
| Florida | MEDICAID | 378589100 |
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