Organization Active NPI

Muzibul Chowdhury, MD, PC

  • Cardiovascular Disease Physician
  • Windsor, CT
National Provider Identifier
1619229549
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
016876 Issued in CT
Legal business name
MUZIBUL CHOWDHURY, MD, PC
Practice address
1080 Day Hill Rd
Suite 102
Windsor, CT 06095-4742
Phone
(860) 688-6920
Fax
(860) 298-9134
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Muzibul Chowdhury, M.D.
Title
President
Phone
(860) 688-6920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 016876 CT Primary

Addresses

Primary practice location

1080 Day Hill Rd
Suite 102
Windsor, CT 06095-4742

Mailing address

1080 Day Hill Rd
Suite 102
Windsor, CT 06095-4742

Other identifiers 1

IdentifierTypeStateIssuer
001168764MedicaidCT

National Provider Directory

National Provider Directory

Locations

1080 Day Hill Rd
Ste 102
Windsor, CT 06095
Phone (860) 688-6920

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1619229549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD",
            "address_2": "SUITE 102",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD",
            "address_2": "SUITE 102",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060954742",
            "telephone_number": "860-688-6920",
            "fax_number": "860-298-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUZIBUL CHOWDHURY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "MUZIBUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-688-6920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "016876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001168764",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.