MEDICARE: CHANDNI CHOUDHARY MD PA

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	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	1D0157	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1366512709	OTHER	TX	GROUP NPI
2	8MX486	OTHER	TX	TEXAS BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1962765834	OTHER	TX	NPI

General Provider Information

NPI Number	:	1366512709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANDNI CHOUDHARY MD PA

Provider Business Mailing Address
First Line	:	1200 BINZ ST STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-6942
Country	:	US
Telephone Number	:	713-520-6016
Fax Number	:	713-893-1342

Provider Business Practice Location Address
First Line	:	1200 BINZ ST STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-6942
Country	:	US
Telephone Number	:	713-520-6016
Fax Number	:	713-893-1342

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TERESA MARTINEZ
Credential	:
Telephone Number	:	713-520-3450

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/17/2025

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Directions to “CHANDNI CHOUDHARY MD PA ” Practice Location

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