Healthcare Provider Details

I. General information

NPI: 1982527370
Provider Name (Legal Business Name): BISMA N. CHOUDHRY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2894 HOMESTEAD RD
SANTA CLARA CA
95051-5224
US

IV. Provider business mailing address

1208 WEEPING OAKS CT
SAN JOSE CA
95120-5506
US

V. Phone/Fax

Practice location:
  • Phone: 408-206-1370
  • Fax:
Mailing address:
  • Phone: 408-206-1370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU4200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: