Provider Demographics
NPI:1073090197
Name:AMERICAN TELESTROKE & NEUROLOGY INC
Entity Type:Organization
Organization Name:AMERICAN TELESTROKE & NEUROLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:I
Authorized Official - Last Name:CHOUDARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-337-6178
Mailing Address - Street 1:9405 TOULON BLVD
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-2621
Mailing Address - Country:US
Mailing Address - Phone:813-337-6178
Mailing Address - Fax:813-433-5474
Practice Address - Street 1:413 W ROBERTSON ST STE B
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5014
Practice Address - Country:US
Practice Address - Phone:813-337-6178
Practice Address - Fax:813-337-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-21
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME111084OtherSTATE MEDICAL LICENSE