Basic Information
| Provider Information | |||||||||
| NPI: | 1629228739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOUDHARY | ||||||||
| FirstName: | RABEEA | ||||||||
| MiddleName: | KHALID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5074 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571175074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053286585 | ||||||||
| FaxNumber: | 6053286512 | ||||||||
| Practice Location | |||||||||
| Address1: | 3015 3RD AVE SE | ||||||||
| Address2: | |||||||||
| City: | ABERDEEN | ||||||||
| State: | SD | ||||||||
| PostalCode: | 574015418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6057251700 | ||||||||
| FaxNumber: | 6057251761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2008 | ||||||||
| LastUpdateDate: | 01/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 39020000X | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | 8718 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.