Adil M Choudhary, Md, Pa | |
11803 South Fwy Ste 105 Burleson TX 76028-7028 | |
(817) 551-7332 | |
Not Available |
Full Name | Adil M Choudhary, Md, Pa |
---|---|
Speciality | Internal Medicine |
Location | 11803 South Fwy Ste 105, Burleson, Texas |
Authorized Official Name and Position | Adil Choudhary (OWNER) |
Authorized Official Contact | 8175517332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adil M Choudhary, Md, Pa Po Box 35197 Fort Worth TX 76162-5197 Ph: (817) 551-7332 | Adil M Choudhary, Md, Pa 11803 South Fwy Ste 105 Burleson TX 76028-7028 Ph: (817) 551-7332 |
NPI Number | 1174043269 |
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Provider Enumeration Date | 06/21/2017 |
Last Update Date | 09/12/2023 |
Medicare PECOS PAC ID | 3476824038 |
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Medicare Enrollment ID | O20170801001819 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174043269 | NPI | - | NPPES |
1497720726 | Other | TX | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Adil M Choudhary |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497720726 PECOS PAC ID: 8224196159 Enrollment ID: I20081022000292 |
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