Healthcare Provider Details

I. General information

NPI: 1619235884
Provider Name (Legal Business Name): YASAMIN V CHOWDHURY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YASAMIN V VOJDANI MD

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 KEARNEY ST
FREMONT CA
94538-2299
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 510-490-1222
  • Fax:
Mailing address:
  • Phone: 510-490-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA142775
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number74629
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number074629
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: