| Choudhrymd, LLC | |
|
604 W 6th St Rolla MO 65401-2941 | |
| (573) 202-3969 | |
| (573) 341-8581 |
| Full Name | Choudhrymd, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 604 W 6th St, Rolla, Missouri |
| Authorized Official Name and Position | Numan Choudhry (PROVIDER) |
| Authorized Official Contact | 5732023969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choudhrymd, LLC 604 W 6th St Rolla MO 65401-2941 Ph: (573) 202-3969 | Choudhrymd, LLC 604 W 6th St Rolla MO 65401-2941 Ph: (573) 202-3969 |
| NPI Number | 1245096924 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245096924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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