MEDICARE: DR. IMRAN CHOUDHRY M.D.

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	207XS0106X	Orthopaedic Hand Surgery Physician	53267	CO

General Provider Information

NPI Number	:	1285896712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IMRAN CHOUDHRY M.D.

Provider Business Mailing Address
First Line	:	4700 HALE PKWY STE 550
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4053
Country	:	US
Telephone Number	:	303-321-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 HALE PKWY STE 550
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-4053
Country	:	US
Telephone Number	:	303-321-6600
Fax Number	:

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

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	06/24/2015

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