Individual
DR. SUBODH KUMAR CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 232-3668
(864) 271-0526
Mailing address
11 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 232-3668
(864) 271-0526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
107
SC
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
107
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
107
SC
213ES0131X
Foot Surgery Podiatrist
107
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700830403
NPI
SC
05
—
GP9955
—
SC
Enumeration date
05/19/2006
Last updated
08/11/2022
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