Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235881 | NY |
N | 111NI0900X | Internist | 235881 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 235881 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 235881 | NY |
NPI | 1255506366 |
---|---|
Provider Name | Dr. Subbarao Choudry |
First Address | Poughkeepsie, NY 12601-5401 |
Second Address | Poughkeepsie, NY 12601-5401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 17/03/2018 |