Mansoor Choudhry, DO
General Practice in Penn Valley, PA. Individual provider (NPI-1).
NPI number1649809641
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1649809641
- Entity type
- Individual (NPI-1)
- Name
- Mansoor Choudhry
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | OS025538 | PA | Yes |
Practice location
857 Montgomery AvePenn Valley, PA 19072-1541
Phone 312-766-4949 · Fax 610-664-2951
Mailing address
857 Montgomery AvePenn Valley, PA 19072-1541
Phone 610-664-2951
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Physician providers in Penn Valley, PA
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