Provider Demographics
NPI:1184349342
Name:CHOUDHRY, RIMSHA ZAMAN (OD)
Entity type:Individual
Prefix:
First Name:RIMSHA
Middle Name:ZAMAN
Last Name:CHOUDHRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26425 NOVI RD STE D
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1157
Mailing Address - Country:US
Mailing Address - Phone:248-344-1426
Mailing Address - Fax:248-344-1530
Practice Address - Street 1:26425 NOVI RD STE D
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1157
Practice Address - Country:US
Practice Address - Phone:248-344-1426
Practice Address - Fax:248-344-1530
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist