Provider Demographics
NPI:1467685800
Name:CHOUDHRY, SAMINA AFTAB (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMINA
Middle Name:AFTAB
Last Name:CHOUDHRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2727 PACES FERRY ROAD
Mailing Address - Street 2:SUITE 1-1100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339
Mailing Address - Country:US
Mailing Address - Phone:470-271-3421
Mailing Address - Fax:
Practice Address - Street 1:310 KENNESTONE HOSPITAL BLVD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1120
Practice Address - Country:US
Practice Address - Phone:770-793-7899
Practice Address - Fax:770-793-7865
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2018-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY253779207Q00000X
GA72239207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine