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General NPI Number Information
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NPI Number | 1558829333
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Entity Type | Organization
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Legal Business Name | MUSTAFIZUR CHOUDHURY LLC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 3148 ESCH DR
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City | WARREN
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State | MI
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Zip | 48091-1651
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Country | US
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Telephone | 586-291-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 3148 ESCH DR
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City | WARREN
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State | MI
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Zip | 48091-1651
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Country | US
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Telephone | 586-291-8255
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUSTAFIZUR CHOUDHURY
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Credential | DO
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Telephone | 586-291-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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