Provider Demographics
NPI:1336445980
Name:CHOUDHARY, AMNA AKBAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMNA
Middle Name:AKBAR
Last Name:CHOUDHARY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18014 MATENY RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2112
Mailing Address - Country:US
Mailing Address - Phone:301-540-3100
Mailing Address - Fax:301-540-3128
Practice Address - Street 1:18014 MATENY RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2112
Practice Address - Country:US
Practice Address - Phone:301-540-3100
Practice Address - Fax:301-540-3128
Is Sole Proprietor?:No
Enumeration Date:2011-01-30
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14530122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist