Chowdhury, Shah Alam
Chowdhury, Shah Alam is an individual health care provider with primary practice located at 2490 Central Ave , Lake Station IN 46405-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chowdhury, Shah Alam can be contacted via phone (219) 763-8112.Contact Information
Primary practice address
2490 Central Ave
Lake Station IN 46405-2122
Phone: (219) 763-8112
Fax: (219) 764-5384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01049484A | Indiana |
Profile Details
| NPI number | 1578563516 |
|---|---|
| LBN Legal business name | Chowdhury, Shah Alam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Mar 29th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578563516 | NPPES |
| Indiana | MEDICAID | 200290410 |
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