Healthcare Provider Details

I. General information

NPI: 1760045462
Provider Name (Legal Business Name): ZESHAN CHOUDHRY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL DR
MACON GA
31217-3838
US

IV. Provider business mailing address

350 HOSPITAL DR STE 230
MACON GA
31217-3838
US

V. Phone/Fax

Practice location:
  • Phone: 478-765-0332
  • Fax:
Mailing address:
  • Phone: 478-765-0332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number93561
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4704
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5151013421
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: