| Choudhry B.m. And Associates, Llc | |
|
420 S Jackson St Pottsville PA 17901-3625 | |
| (570) 621-5500 | |
| Not Available |
| Full Name | Choudhry B.m. And Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 420 S Jackson St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Babar M. Choudhry (MD/OWNER) |
| Authorized Official Contact | 5702888881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choudhry B.m. And Associates, Llc Po Box 1388 Kingston PA 18704-0379 Ph: (570) 288-8881 | Choudhry B.m. And Associates, Llc 420 S Jackson St Pottsville PA 17901-3625 Ph: (570) 621-5500 |
| NPI Number | 1770594582 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Medicare PECOS PAC ID | 2365456050 |
|---|---|
| Medicare Enrollment ID | O20060202000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770594582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Babar Murtaz Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164598512 PECOS PAC ID: 7113828708 Enrollment ID: I20040116000360 |
| Provider Name | Eugene Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760458004 PECOS PAC ID: 8123019270 Enrollment ID: I20040623001003 |
| Provider Name | Gina M Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447870878 PECOS PAC ID: 8022417666 Enrollment ID: I20210601002458 |
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