Provider Demographics
NPI:1003705013
Name:CHOUDHURY, NAHID (PHARMD)
Entity type:Individual
Prefix:
First Name:NAHID
Middle Name:
Last Name:CHOUDHURY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 KING ST
Mailing Address - Street 2:
Mailing Address - City:KEYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23947
Mailing Address - Country:US
Mailing Address - Phone:434-736-0060
Mailing Address - Fax:
Practice Address - Street 1:665 KING ST
Practice Address - Street 2:
Practice Address - City:KEYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23947
Practice Address - Country:US
Practice Address - Phone:434-736-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist