Provider Demographics
NPI:1386677664
Name:CHOKSHI, ATUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:ATUL
Middle Name:B
Last Name:CHOKSHI
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:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:NJ
Mailing Address - Zip Code:07620-0639
Mailing Address - Country:US
Mailing Address - Phone:201-314-7220
Mailing Address - Fax:732-902-2802
Practice Address - Street 1:370 9TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-8131
Practice Address - Country:US
Practice Address - Phone:718-499-0202
Practice Address - Fax:718-369-0484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136973207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00559673Medicaid
NYB13906Medicare UPIN