# CHOUDHRYMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245096924
- **Authorized official:** NUMAN CHOUDHRY MD (PROVIDER)
- **Authorized official phone:** (573) 202-3969

## Contact information

- **Practice address:** 604 W 6TH ST, ROLLA, MO 65401-2941
- **Practice address phone:** (573) 202-3969
- **Practice address fax:** (573) 341-8581
- **Mailing address:** 604 W 6TH ST, ROLLA, MO 65401-2941
- **Mailing address phone:** (573) 202-3969
- **Mailing address fax:** (573) 341-8581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024