Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samreen Choudhry, MD

Individual provider Dermatology Physician · NPI 1447531017

Dr. Samreen Choudhry, MD is a Dermatology in Newport Beach, California. Qualified in 2011, 15 years ago. Practices with Kristen Forman MD Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1617 Westcliff Dr Ste 214
Newport Beach, CA 92660
Phone: (949) 945-2374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17742 Beach Blvd Ste 325, Huntington Beach, CA 92647-6852 — (714) 847-8561

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036138214 (IL)

Record details

NPI number1447531017
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 8, 2011
Last updated in NPPESJune 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kristen Forman Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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