Provider Demographics
NPI:1407077316
Name:CHOUDRY, RASHAD G (MD)
Entity Type:Individual
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First Name:RASHAD
Middle Name:G
Last Name:CHOUDRY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:101 E OLNEY AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2421
Mailing Address - Country:US
Mailing Address - Phone:215-456-4000
Mailing Address - Fax:215-254-2599
Practice Address - Street 1:5401 OLD YORK RD
Practice Address - Street 2:SUITE 501
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3030
Practice Address - Country:US
Practice Address - Phone:215-254-3440
Practice Address - Fax:215-456-3529
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2024-04-24
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Provider Licenses
StateLicense IDTaxonomies
PABC85717422086S0129X
PAMD4208992086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery