Healthcare Provider Details

I. General information

NPI: 1720056740
Provider Name (Legal Business Name): SALIM CHOWDHURY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 10/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST SUITE 274
PITTSBURGH PA
15213-2593
US

IV. Provider business mailing address

110 FORT COUCH RD STE G200
PITTSBURGH PA
15241-1030
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-2000
  • Fax: 412-586-9532
Mailing address:
  • Phone: 412-347-0170
  • Fax: 412-347-0174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD059534L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: