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

Mansoor Choudhry, DO

Individual provider General Practice Physician · NPI 1649809641

Mansoor Choudhry, DO is a General Practice in Penn Valley, Pennsylvania. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Main Line Medical Group Ltd, a 9-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
PA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

857 Montgomery Ave
Penn Valley, PA 19072-1541
Phone: (312) 766-4949
Fax: (610) 664-2951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS025538 (PA)

Record details

NPI number1649809641
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address857 Montgomery Ave, Penn Valley, PA 19072-1541

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Main Line Medical Group Ltd — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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