MEDICARE: SARA 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD437143	PA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD437143	PA

General Provider Information

NPI Number	:	1790701092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CHOUDHRY M.D

Provider Business Mailing Address
First Line	:	5445 LANARK RD STE 300
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-7300
Fax Number	:	866-449-5832

Provider Business Practice Location Address
First Line	:	5445 LANARK RD STE 300
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-526-7300
Fax Number	:	866-449-5832

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	01/13/2020

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