Healthcare Provider Details

I. General information

NPI: 1417303561
Provider Name (Legal Business Name): MONICA CHOWDHRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2016
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 J D ANDERSON DR
MORGANTOWN WV
26505-3494
US

IV. Provider business mailing address

1000 MON HEALTH MEDICAL PARK DR STE 1101
MORGANTOWN WV
26505-1143
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-1200
  • Fax:
Mailing address:
  • Phone: 304-598-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number28839
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: