=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982299657
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABHISHEK CHOUDHARY MD, GASTROENTEROLOGY, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2021
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 HOSPITAL DR STE 8B
-----------------------------------------------------
City | MOUNTAIN VIEW
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94040-4114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-574-7720
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 HOSPITAL DR STE 8B
-----------------------------------------------------
City | MOUNTAIN VIEW
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94040-4114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-574-7720
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | DR. ABHISHEK CHOUDHARY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 510-574-7720
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------