1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Specialist
  6. NPI Profile
  7. NPI Record 1467508713

DR. GOLAM S. CHOUDHURY M.D.
Complete NPI Record 1467508713
Specialist in Las Vegas, NV

NPI Status: Active since January 26, 2007

Contact Information

3121 S MARYLAND PKWY
SUITE 414
LAS VEGAS, NV
ZIP 89109
Phone: (702) 731-5113
Fax: (702) 734-8381

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Name Prefix Text
  7. Provider Credential Text
  8. Provider First Line Business Mailing Address
  9. Provider Business Mailing Address City Name
  10. Provider Business Mailing Address State Name
  11. Provider Business Mailing Address Postal Code
  12. Provider Business Mailing Address Country Code If outside U S
  13. Provider Business Mailing Address Telephone Number
  14. Provider Business Mailing Address Fax Number
  15. Provider First Line Business Practice Location Address
  16. Provider Second Line Business Practice Location Address
  17. Provider Business Practice Location Address City Name
  18. Provider Business Practice Location Address State Name
  19. Provider Business Practice Location Address Postal Code
  20. Provider Business Practice Location Address Country Code If outside U S
  21. Provider Business Practice Location Address Telephone Number
  22. Provider Business Practice Location Address Fax Number
  23. Provider Enumeration Date
  24. Last Update Date
  25. Provider Gender Code
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number 1
  28. Provider License Number State Code 1
  29. Healthcare Provider Primary Taxonomy Switch 1
  30. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1467508713. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1467508713
The State code in the location of the provider being identified.
Entity Type Code: 1
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
The country code in the location address of the provider being identified.
Provider First Name: GOLAM
The telephone number associated with the location address of the provider being identified.
Provider Middle Name: S.
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Name Prefix Text: DR.
The date that a record was last updated or changed.
Provider Credential Text: M.D.
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider First Line Business Mailing Address: PO BOX 96475
The first name of the authorized official.
Provider Business Mailing Address City Name: LAS VEGAS
The middle name of the authorized official.
Provider Business Mailing Address State Name: NV
The title or position of the authorized official.
Provider Business Mailing Address Postal Code: 891936475
The 10-position telephone number of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Telephone Number: 7027315113
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address Fax Number: 7027348381
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 3121 S MARYLAND PKWY
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE 414
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LAS VEGAS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NV
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 891092307
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7027315113
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7027348381
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 1/26/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 5/10/2012
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 174400000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 3742
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: NV
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No