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NPI Code Detail

MEDICARE: DR. ESTAK M CHOUDHURY MD

MEDICARE: DR. ESTAK M CHOUDHURY MD
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
1207P00000XEmergency Medicine PhysicianA74269CA

General Provider Information

NPI Number : 1790729846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESTAK M CHOUDHURY MD
Provider Business Mailing Address
First Line : 1756 HERRIN ST
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-2828
Country : US
Telephone Number : 909-289-2124
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-6098
Country : US
Telephone Number : 323-913-4892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 12/08/2021

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Directions to “ DR. ESTAK M CHOUDHURY MD” Practice Location

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