Organization
PIEDMONT PODIATRY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDOBH KUMAR CHOUDHARY DPM (OWNER PRESIDENT)
(864) 232-3668
Entity
Organization
Contact information
Practice address
11 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 232-3668
(864) 271-0526
Mailing address
11 MILLS AVE, C/O SUBODH CHOUDHARY, GREENVILLE, SC 29605-4015
(864) 232-3668
(864) 271-0526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA32286626
MEDICARE PTAN
SC
05
—
GP9955
—
SC
Enumeration date
07/14/2006
Last updated
09/27/2010
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