MEDICARE: MUZIBUL G CHOWDHURY, M.D., P.C.

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
1	207RC0000X	Cardiovascular Disease Physician	016876	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2V2685	OTHER	CT	HEALTHNET
2	HAS690	OTHER	CT	OXFORD
3	0083796	OTHER	CT	AETNA/US HEALTHCARE
4	010016876CT04	OTHER	CT	ANTHEM
5	712992	OTHER	CT	CONNECTICARE

General Provider Information

NPI Number	:	1528083581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUZIBUL G CHOWDHURY, M.D., P.C.

Provider Business Mailing Address
First Line	:	1080 DAY HILL RD
Second Line	:	SUITE 102
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-688-6920
Fax Number	:	860-298-9134

Provider Business Practice Location Address
First Line	:	1080 DAY HILL RD
Second Line	:	SUITE 102
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-688-6920
Fax Number	:	860-298-9134

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MUZIBUL CHOWDHURY
Credential	:	M.D.
Telephone Number	:	860-688-6920

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/22/2020

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