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NPI Code Detail

MEDICARE: MOHAMMED RAYHAN CHOWDHURY M.D.

MEDICARE: MOHAMMED RAYHAN CHOWDHURY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianMD-042212-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104864966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED RAYHAN CHOWDHURY M.D.
Provider Business Mailing Address
First Line : 681 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1022
Country : US
Telephone Number : 570-876-5900
Fax Number : 570-876-5300
Provider Business Practice Location Address
First Line : 681 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1022
Country : US
Telephone Number : 570-876-5900
Fax Number : 570-876-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/22/2011

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