MEDICARE: PRIYA CHOKSHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	25MA11478800	NJ
2	207RR0500X	Rheumatology Physician	2880561	NY

General Provider Information

NPI Number	:	1245676303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA CHOKSHI MD

Provider Business Mailing Address
First Line	:	2301 E EVESHAM RD BLDG 800
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4510
Country	:	US
Telephone Number	:	856-424-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	3635 QUAKERBRIDGE RD STE 33
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1247
Country	:	US
Telephone Number	:	856-424-5005
Fax Number	:	856-424-4716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	06/23/2022

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