Healthcare Provider Details

I. General information

NPI: 1427016799
Provider Name (Legal Business Name): ARABINDA CHOUDHARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

224 HARRISON ST STE 601
SYRACUSE NY
13202-3186
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5189
  • Fax: 315-464-7494
Mailing address:
  • Phone: 315-464-5660
  • Fax: 315-464-7695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberME114675
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberC10010568
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number329329
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberMD428391
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number329329
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberME114675
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberC10010568
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: