Healthcare Provider Details

I. General information

NPI: 1245676303
Provider Name (Legal Business Name): PRIYA CHOKSHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 QUAKERBRIDGE RD STE 33
HAMILTON NJ
08619-1247
US

IV. Provider business mailing address

2301 E EVESHAM RD BLDG 800
VOORHEES NJ
08043-4510
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-5005
  • Fax: 856-424-4716
Mailing address:
  • Phone: 856-424-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA11478800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number2880561
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: