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General NPI Number Information
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NPI Number | 1518924323
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Entity Type | Individual
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Provider Name | MUNEEB ASIM CHOUDRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 2125 CITRACADO PKWY STE 220
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City | ESCONDIDO
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State | CA
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Zip | 92029-4159
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Country | US
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Telephone | 760-740-2715
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Fax | 858-207-0004
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Provider Business Mailing Address
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Address Line | 15611 POMERADO RD STE 400
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City | POWAY
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State | CA
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Zip | 92064-2437
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Country | US
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Telephone | 760-291-6650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 35172
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C137304
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License Number State | CA
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