Choudhary, Cuckoo
Choudhary, Cuckoo is an individual health care provider with primary practice located at 132 S 10Th St 480 Main Building, Phila PA 19107-5244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Choudhary, Cuckoo can be contacted via phone (215) 955-8900.Contact Information
Primary practice address
132 S 10Th St 480 Main Building
Phila PA 19107-5244
Phone: (215) 955-8900
Fax: (215) 955-5245
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD063160L | Pennsylvania |
Profile Details
NPI number | 1871552711 |
---|---|
LBN Legal business name | Choudhary, Cuckoo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Sep 24th, 2007 - about 17 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 | 1871552711 | NPPES |
Pennsylvania | MEDICAID | 0017883990001 | |
Pennsylvania | MEDICAID | 8134103 |
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132 S 10Th St 480 Main Building, Phila PA 19107-5244