Individual
DR. MOHAMMAD A. CHOUTHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 724-3456
(315) 724-6734
Mailing address
PO BOX 2000, ENROLLMENT DEPT, EAST SYRACUSE, NY 13057-4500
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
226748
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
226748
NY
Other
Enumeration date
01/28/2006
Last updated
02/12/2008
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