Healthcare Provider Details

I. General information

NPI: 1205625308
Provider Name (Legal Business Name): UMAR IQBAL JAVID CHOUDHARY MD/MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 LOCUST ST
PITTSBURGH PA
15219-5131
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER- PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-7677
  • Fax:
Mailing address:
  • Phone: 857-832-8992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberPLLN105691
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: