Provider Demographics
NPI:1891737151
Name:CHOYAH, NATASHA ANGELI (MD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:ANGELI
Last Name:CHOYAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 GOODLETTE RD N
Mailing Address - Street 2:#310
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5400
Mailing Address - Country:US
Mailing Address - Phone:239-643-8770
Mailing Address - Fax:239-261-6304
Practice Address - Street 1:800 GOODLETTE RD N
Practice Address - Street 2:#310
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5400
Practice Address - Country:US
Practice Address - Phone:239-643-8770
Practice Address - Fax:239-261-6304
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC23278207Q00000X
FLME90490207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009446600Medicaid
SC23278OtherLICENSE NUMBER
FL009446600Medicaid
FLHO035YMedicare PIN