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NPI Code Detail

MEDICARE: MOHAMMED OMAR CHOUDARY DO

MEDICARE: MOHAMMED OMAR CHOUDARY DO
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
1207R00000XInternal Medicine PhysicianOS025323PA
2208M00000XHospitalist PhysicianOS025323PA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1679215875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED OMAR CHOUDARY DO
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 112 N 7TH ST
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-1720
Country : US
Telephone Number : 717-217-4300
Fax Number : 717-217-4217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 01/19/2026

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Directions to “ MOHAMMED OMAR CHOUDARY DO” Practice Location

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