Provider Demographics
NPI:1982850301
Name:CHOUDHURY, ASHRAF UDDIN (DDS)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:UDDIN
Last Name:CHOUDHURY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2902
Mailing Address - Country:US
Mailing Address - Phone:202-291-1611
Mailing Address - Fax:202-291-1449
Practice Address - Street 1:3114 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2902
Practice Address - Country:US
Practice Address - Phone:202-291-1611
Practice Address - Fax:202-291-1449
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN1000749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCDEN1000749OtherDC DENTAL LICENSE