Provider Demographics
NPI:1144270828
Name:CHOUDHRY, M SALEEM (MD)
Entity type:Individual
Prefix:
First Name:M SALEEM
Middle Name:
Last Name:CHOUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 ROUTE 52
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1516
Mailing Address - Country:US
Mailing Address - Phone:845-897-4350
Mailing Address - Fax:845-897-2378
Practice Address - Street 1:841 ROUTE 52
Practice Address - Street 2:SUITE 2
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1516
Practice Address - Country:US
Practice Address - Phone:845-897-4350
Practice Address - Fax:845-897-2378
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY125839207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00235121Medicaid
NY338661Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NY00235121Medicaid