Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 253779 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 72239 | GA |
NPI | 1467685800 |
---|---|
Provider Name | Dr. Samina Aftab Choudhry |
First Address | Atlanta, GA 30339 |
Second Address | Marietta, GA 30060-1120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2009 |
Last Update Date | 13/06/2018 |