Provider Demographics
NPI:1427135128
Name:CHOUDHURY, FERDOUS ARA (MD)
Entity type:Individual
Prefix:DR
First Name:FERDOUS
Middle Name:ARA
Last Name:CHOUDHURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FERDOUS
Other - Middle Name:ARA
Other - Last Name:BEGUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2495 SHREVEPORT HWY # HWY71N
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4044
Mailing Address - Country:US
Mailing Address - Phone:318-473-0010
Mailing Address - Fax:318-483-5060
Practice Address - Street 1:2495 SHREVEPORT HWY # HWY71N
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4044
Practice Address - Country:US
Practice Address - Phone:318-473-0010
Practice Address - Fax:318-483-5060
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163958208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation