MEDICARE: DR. LIZA CHOUDHARY

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	183500000X	Pharmacist	0202208045	VA

General Provider Information

NPI Number	:	1427651991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIZA CHOUDHARY

Provider Business Mailing Address
First Line	:	3308 LONGBRANCH DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2518
Country	:	US
Telephone Number	:	202-316-6101
Fax Number	:

Provider Business Practice Location Address
First Line	:	3480 S JEFFERSON ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3104
Country	:	US
Telephone Number	:	703-931-1333
Fax Number	:	703-933-6190

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

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	11/18/2020

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Directions to “ DR. LIZA CHOUDHARY ” Practice Location

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