Dr Farah L Choudhry, MD | |
1625 Straits Tpke, Middlebury, CT 06762-1805 | |
(203) 759-0666 | |
(203) 568-2919 |
Full Name | Dr Farah L Choudhry |
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Gender | Female |
Speciality | Pediatrics |
Location | 1625 Straits Tpke, Middlebury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821061664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036733 (Connecticut) | Primary |
Entity Name | Prospect Ct Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
Mailing Address | Practice Location Address |
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Dr Farah L Choudhry, MD 1625 Straits Tpke, Suite #201, Middlebury, CT 06762-1805 Ph: (203) 573-9512 | Dr Farah L Choudhry, MD 1625 Straits Tpke, Middlebury, CT 06762-1805 Ph: (203) 759-0666 |
Dr. Kweku G Sam Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Straits Tpke, Middlebury, CT 06762 Phone: 203-759-0666 Fax: 203-568-2919 | |
Dr. Ghulam Jilani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Straits Tpke, Middlebury, CT 06762 Phone: 203-759-0666 Fax: 203-568-2919 | |
Ezzat Hafez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1655 Straits Tpke, Middlebury, CT 06762 Phone: 860-965-7175 | |
Dr. Jenny Hwang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Straits Tpke, Middlebury, CT 06762 Phone: 203-759-0666 Fax: 203-568-2919 |