Healthcare Provider Details

I. General information

NPI: 1932215308
Provider Name (Legal Business Name): ABHINEET CHOWDHARY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22601 N 19TH AVE STE 100
PHOENIX AZ
85027-1324
US

IV. Provider business mailing address

16220 N SCOTTSDALE RD STE 300
SCOTTSDALE AZ
85254-1798
US

V. Phone/Fax

Practice location:
  • Phone: 480-463-8979
  • Fax: 602-960-7553
Mailing address:
  • Phone: 425-998-6361
  • Fax: 602-960-7553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number67842
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD60105166
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: