Individual
MS. NAMRAH K CHOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
853 N CHURCH ST STE 620, SPARTANBURG, SC 29303-3070
(864) 573-7511
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4649
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917PA
—
SC
01
—
SCO2845206
MEDICARE PIN
SC
Enumeration date
09/23/2022
Last updated
11/16/2022
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