Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OMAR CHOUDHURY, M.D.
DeactivatedDR. OMAR CHOUDHURY, M.D. is a Neurology healthcare provider located in DETROIT, Michigan. NPI 1912516790 is deactivated in the NPPES registry. Verify at CMS.
Neurology · DETROIT, MI
This NPI has been deactivated.
The record was deactivated on October 20, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912516790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2020 (1.2301369863014 yrs)
- Last Updated
- Jul 21, 2025
- Deactivated
- Oct 20, 2021
- Licenses
-
79401 (MN)4301512388 (MI)
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 3139162585
- Fax
- 3139163014
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
Other Neurology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. SHAILAJA GADDAM | M.D. | 1316933971 |
| DR. VIRGINIA SKIBA | MD | 1346226883 |
| KHALIL M NASRALLAH | MD | 1619923455 |
| JAMES FRANKLIN SELWA | MD | 1457398455 |
| ROBERT PHILIP LISAK | MD | 1235176835 |
| DR. EDWIN BLACK GEORGE | MD PHD | 1255378774 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.