Individual
SHAKIB NAWAZ CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1434 WILLIAMSBRIDGE RD, BRONX, NY 10461-2507
(718) 689-6847
Mailing address
1434 WILLIAMSBRIDGE RD, BRONX, NY 10461-2507
(718) 689-6847
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
007413
NY
213ES0131X
Foot Surgery Podiatrist
Primary
007413
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2021
Last updated
07/16/2024
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