MEDICARE: IMRAN H CHOWDHURY MD PA

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
1	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N151	OTHER	MD	BLUE CROSS FEDERAL
2	1142274	OTHER	MD	AETNA HMO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	606751	OTHER	MD	EVERCARE
6	7416227	OTHER	MD	AETNA NON HMO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	494C	OTHER	MD	BLUE CROSS OF MD

General Provider Information

NPI Number	:	1699728089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMRAN H CHOWDHURY MD PA

Provider Business Mailing Address
First Line	:	9784 OLD ANNAPOLIS RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6327
Country	:	US
Telephone Number	:	410-997-1336
Fax Number	:

Provider Business Practice Location Address
First Line	:	10816 HICKORY RIDGE RD
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3622
Country	:	US
Telephone Number	:	410-997-7677
Fax Number	:	410-997-1636

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. IMRAN H CHOWDHURY
Credential	:	M.D.
Telephone Number	:	410-997-7677

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/25/2024

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Directions to “IMRAN H CHOWDHURY MD PA ” Practice Location

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