Individual
DR. UMARAN CHOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13700 ST FRANCIS BLVD, EMERGENCY MEDICINE DEPARTMENT, MIDLOTHIAN, VA 23114-3222
(804) 594-7950
(804) 594-7955
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101248234
VA
207P00000X
Emergency Medicine Physician
MD440889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033375654
—
VA
01
—
12237907
CAQH
—
Enumeration date
08/03/2008
Last updated
08/16/2011
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