MEDICARE: DR. NEERU CHOUDHARY D.D.S

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	122300000X	Dentist	60081	CA

General Provider Information

NPI Number	:	1992059828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEERU CHOUDHARY D.D.S

Provider Business Mailing Address
First Line	:	885 SCOTT BLVD STE 3
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5255
Country	:	US
Telephone Number	:	408-244-3629
Fax Number	:	408-244-7137

Provider Business Practice Location Address
First Line	:	885 SCOTT BLVD STE 3
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5255
Country	:	US
Telephone Number	:	408-244-3629
Fax Number	:	408-244-7137

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

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	01/16/2026

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