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NPI Code Detail

MEDICARE: KHADIJAH CHOUDHERY

MEDICARE: KHADIJAH CHOUDHERY
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1932051497
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHADIJAH CHOUDHERY
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 5325 N FRESNO ST STE 106
Second Line :
City : FRESNO
State : CA
Zip : 93710-6849
Country : US
Telephone Number : 559-405-5602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ KHADIJAH CHOUDHERY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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