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NPI Code Detail

MEDICARE: CHOWDHURY MEDICAL ASSOCIATES, LLC.

MEDICARE: CHOWDHURY MEDICAL ASSOCIATES, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134662877
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOWDHURY MEDICAL ASSOCIATES, LLC.
Provider Business Mailing Address
First Line : 10012 EDWARD AVE
Second Line :
City : BETHESDA
State : MD
Zip : 20814-2114
Country : US
Telephone Number : 301-530-2737
Fax Number : 301-530-1585
Provider Business Practice Location Address
First Line : 3000 MCCOMAS AVE
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2316
Country : US
Telephone Number : 301-933-0060
Fax Number : 301-946-9709
Authorized Official
Title or Position : MEMBER
Name : NURUL A CHOWDHURY
Credential : M.D.
Telephone Number : 301-530-2737
Provider Enumeration Date : 11/29/2016
Last Update Date : 12/10/2024

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