Provider Demographics
NPI:1427574813
Name:CHOUDHARY, VIVEK (MD)
Entity Type:Individual
Prefix:
First Name:VIVEK
Middle Name:
Last Name:CHOUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:WILLIAM BEAUMONT ARMY MEDICAL CENTER (WBAMC)
Mailing Address - Street 2:5005 N. PIEDRAS STREET
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5001
Mailing Address - Country:US
Mailing Address - Phone:915-742-2180
Mailing Address - Fax:915-742-4363
Practice Address - Street 1:WILLIAM BEAUMONT ARMY MEDICAL CENTER (WBAMC)
Practice Address - Street 2:5005 N. PIEDRAS STREET
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-742-2180
Practice Address - Fax:915-742-4363
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS4455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine