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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467462069 NPPES
Florida MEDICAID 378589100

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