Healthcare Provider Details

I. General information

NPI: 1164982138
Provider Name (Legal Business Name): RITAM CHOWDHURY MBBS, MPH, PHD, SM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 TOWNSHIP LINE RD STE 150
YARDLEY PA
19067-5567
US

IV. Provider business mailing address

777 TOWNSHIP LINE RD STE 150
YARDLEY PA
19067-5567
US

V. Phone/Fax

Practice location:
  • Phone: 215-860-3360
  • Fax: 215-860-3362
Mailing address:
  • Phone: 215-860-3360
  • Fax: 215-860-3362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD497105
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: