SOURAB CHOUDHURY (NPI# 1861453698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861453698 |
| Entity Type | Individual |
| Full Name | SOURAB CHOUDHURY |
| Credential | DO |
| Practice Address |
161 Atlantic Ave Suite 202 Brooklyn NY 11201-6720 |
| Practice Telephone | 7187975504 |
| Mailing Telephone | 7187975504 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 226018 | NY | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
226018 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02358652 | 05 |
| Street Address |
161 ATLANTIC AVE SUITE 202 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588636039 | Joseph Sturm | Ophthalmology | 161 Atlantic Ave, Brooklyn, NY 11201-6720 | 2006-02-07 |
| 1104360775 | Advanced Hearing Brooklyn Ltd | Audiologist | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2016-12-15 |
| 1932564119 | Frank Lo | Physical Therapist | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2015-12-15 |
| 1457699985 | Madison Physical Therapy At Brooklyn Heights PC | Physical Medicine & Rehabilitation | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2013-01-17 |
| 1447520390 | Gennady Gandelsman | Specialist | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2012-01-10 |
| 1831499375 | Sam Katzurin Md PC | Ophthalmology | 161 Atlantic Ave, Ste. 203, Brooklyn, NY 11201-6720 | 2010-11-01 |
| 1225367485 | Luis Manuel Ayala Jr. | Physician Assistant | 161 Atlantic Ave, Suite 202, Brooklyn, NY 11201-6720 | 2009-12-17 |
| 1619105251 | Neil Moskovitz | Physical Therapist | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2009-06-22 |
| 1538394168 | Ramapo/prs Radiology, P.C. | Radiology | 161 Atlantic Ave, Brooklyn, NY 11201-6720 | 2009-05-27 |
| 1720206725 | Ted Rothstein | Dentist | 161 Atlantic Ave, Brooklyn, NY 11201-6792 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684614 | Meagan Sara Keefe | Dermatology | 32 Court St Ste 302, Brooklyn, NY 11201-4408 | 2016-04-11 |
| 1215331228 | Centurion Dermatology PC | Dermatology | 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 | 2014-10-20 |
| 1215349394 | Gladstein Medical Care PC | Dermatology | 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 | 2014-05-23 |
| 1578829198 | Sameer Bashey | Dermatology | 387 6th Ave, Brooklyn, NY 11215-3309 | 2012-04-09 |
| 1588938807 | Rachel Rubinstein | Dermatology | 1476 54th St, Brooklyn, NY 11219-4227 | 2012-03-05 |
| 1861775462 | Daniel J Tanner | Dermatology | 1401 55 Street, 5b, Brooklyn, NY 11219 | 2011-09-21 |
| 1639485469 | Aln Medical PC | Dermatology | 7819 Bay Pkwy, Brooklyn, NY 11214-1507 | 2010-08-31 |
| 1053622464 | Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Dermatology | 1717 86 St, Brooklyn, NY 11214-2817 | 2010-06-30 |
| 1083934087 | Karen Laura Hammerman | Dermatology | 2408 Ocean Ave, Brooklyn, NY 11229-3565 | 2010-06-02 |
| 1073740460 | Irene Josephine Vergilis-kalner | Dermatology | 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 | 2009-06-12 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on SOURAB CHOUDHURY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.