Healthcare Provider Details
I. General information
NPI: 1174193148
Provider Name (Legal Business Name): MORSHED & CHOWDHURY MEDICAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2021
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 MURDOCK CT APT 3D
BROOKLYN NY
11223-6405
US
IV. Provider business mailing address
9 MURDOCK CT APT 3D
BROOKLYN NY
11223-6405
US
V. Phone/Fax
- Phone: 347-891-3064
- Fax:
- Phone: 347-891-3064
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AHMAD
HOSSEN
MORSHED
Title or Position: PRESIDENT
Credential: MD
Phone: 347-891-3064