Imran H Chowdhury MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IMRAN H CHOWDHURY MD PA

Practice address

6510 Kenilworth Avenue
Suite 2500
Riverdale, MD 20737-9997

Phone

(240) 770-6345

Fax

(240) 467-3993

NPI assigned

May 11, 2017

Organization subpart

Yes

Parent organization

INFECTIOUS DISEASE CARE CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imran H Chowdhury, MD

Title

President

Phone

(410) 997-7677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Infectious Disease Infusion Center Doing business as

Part of

Imran H Chowdhury MD PA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1144757915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 2500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "410-997-7677",
            "fax_number": "410-997-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVENUE",
            "address_2": "SUITE 2500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207379997",
            "telephone_number": "240-770-6345",
            "fax_number": "240-467-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN H CHOWDHURY MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFECTIOUS DISEASE CARE CENTER",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-997-7677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409510300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.