Individual
RUHUL AHMED CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3080 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769-8602
(606) 549-9107
(606) 549-9862
Mailing address
292 N MAIN ST, JELLICO, TN 37762-2132
(423) 784-3600
(423) 784-4602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30920
TN
207R00000X
Internal Medicine Physician
30920
TN
207R00000X
Internal Medicine Physician
Primary
34311
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021020
—
TN
01
—
110179309
MEDICARE RAILROAD
—
01
—
3116107
BCBST
TN
05
—
3116107
—
TN
05
—
3832392
—
TN
01
—
4102759
BCBS OF TN
TN
05
—
64353113
—
KY
01
—
KY0109
JOHN DEERE
TN
01
—
P00234830
RAILROAD MEDICARE
TN
Enumeration date
06/02/2006
Last updated
03/13/2015
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