Provider Demographics
NPI:1538123633
Name:CHOUDHRY, KARAMAT ULLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:KARAMAT
Middle Name:ULLAH
Last Name:CHOUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KARAMAT
Other - Middle Name:ULLAH
Other - Last Name:CHOUDHRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:909 9TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3903
Mailing Address - Country:US
Mailing Address - Phone:817-335-1131
Mailing Address - Fax:817-335-2414
Practice Address - Street 1:909 9TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3903
Practice Address - Country:US
Practice Address - Phone:817-335-1131
Practice Address - Fax:817-335-2414
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9967208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89Z440Medicare ID - Type Unspecified
TXD48118Medicare UPIN