Sourab P Choudhury (NPI# 1861453698, PAC ID# 8123006723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1861453698 |
| PAC ID by PECOS | 8123006723 |
| Professional Enrollment ID | I20040709001313 |
| Full Name | Sourab P Choudhury |
| Organization Legal Name | BOBBY BUKA, M.D., P.C. |
| Address |
214 Sullivan St New York NY 10012-1354 |
| Phone Number | 2123853700 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0547351140 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 440 Atlantic Ave, Brooklyn, NY 11217-2143 | 7187975504 | CHILDREN'S SKIN AND LASER, PC |
| 214 Sullivan St, New York, NY 10012-1354 | 2123853700 | BOBBY BUKA, M.D., P.C. |
| 220 Front St, New York, NY 10038-2033 | 2123853700 | BOBBY BUKA, M.D., P.C. |
| Organization Legal Name | BOBBY BUKA, M.D., P.C. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashton P Frulla | Nurse Practitioner | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Charlotte S Noorollah | Dermatology | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Alison Brett Gruen | Dermatology | Bobby Buka, M.d., P.C. | 152 Broadway, Brooklyn, NY 11211-6131 |
| Anjali S Vekaria | Dermatology | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Luis M Ayala Jr. | Physician Assistant | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Yohana Shum | Physician Assistant | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Vladyslava Doktor | Dermatology | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Robert Buka | Dermatology | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Ashley P Wu | Nurse Practitioner | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Dina Began | Dermatology | Bobby Buka, M.d., P.C. | 220 Front St, New York, NY 10038-2033 |
| Street Address |
214 SULLIVAN ST |
| City | NEW YORK |
| State | NY |
| Zip | 10012-1354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashton P Frulla | Nurse Practitioner | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Marcelo Horenstein | Pathology | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Melanie S Nevid | Physician Assistant | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Baokim Bonelli | Physician Assistant | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Ryan L Leach | Physician Assistant | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Amy Lynn Spizuoco | Dermatology | Bobby Buka, M.d., P.C. | 214 Sullivan St, New York, NY 10012-1354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin E Schnur | Chiropractic | 64 W 3rd St, Suite 203, New York, NY 10012-1021 | |
| Hyram D Stephens | Psychiatry | 39 /2 Washington Square S, 1w, New York, NY 10012-1062 | |
| Amy Beth Stephens | Registered Dietitian Or Nutrition Professional | 39 /2 Washington S Sq, 1w, New York, NY 10012-1062 | |
| Rosemarie Y Ingleton | Dermatology | 14 E 4th St, Suite 505, New York, NY 10012-1141 | |
| Christine H Fewell | Clinical Social Worker | 14 E 4th St, Suite 401, New York, NY 10012-1141 | |
| Peter A Meiland | Psychologist, Clinical | 14 E 4th St, Suite 401, New York, NY 10012-1141 | |
| Carol Glassman | Clinical Social Worker | 14 E 4th St, Suite 407, New York, NY 10012-1141 | |
| Ellen B Simpao | Clinical Psychologist | 14 E 4th St, Suite 401, New York, NY 10012-1141 | |
| Nadia I Kihiczak | Dermatology | Ingleton Dermatology P.C. | 14 E 4th St, New York, NY 10012-1141 |
| Nancy S Parker | Clinical Social Worker | 15 Minetta St, New York, NY 10012-1204 | |
| Find all physicians in zip 10012 | |||
| City | NEW YORK |
| Zip Code | 10012 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEW YORK + DERMATOLOGY |
Please comment or provide details below to improve the information on Sourab P Choudhury.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.