Provider Demographics
NPI:1164308458
Name:INTERNAL MEDICINE EL PASO PA
Entity type:Organization
Organization Name:INTERNAL MEDICINE EL PASO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-242-3960
Mailing Address - Street 1:2270 JOE BATTLE BLVD SPC EF
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2609
Mailing Address - Country:US
Mailing Address - Phone:915-242-3960
Mailing Address - Fax:341-888-6001
Practice Address - Street 1:2270 JOE BATTLE BLVD SPC EF
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2609
Practice Address - Country:US
Practice Address - Phone:915-242-3960
Practice Address - Fax:341-888-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty