Imran H Chowdhury MD PA
Organization Active NPI Infectious Disease Physician · Columbia, MD
NPI 1699728089 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1699728089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- IMRAN H CHOWDHURY MD PA
- Practice address
- 10816 Hickory Ridge Rd
Columbia, MD 21044-3622 - Phone
- (410) 997-7677
- Fax
- (410) 997-1636
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Imran H Chowdhury, M.D.
- Title
- Partner
- Phone
- (410) 997-7677
Practitioners 23
-
Zeena Daniel, CRNP
-
Janeika Grant, CRNP
-
Christiane Happi, CRNP
-
Chidi Roovelt Nwachukwu, CRNP
-
Imelda Tividad Russell, CRNP
-
Meliza Sotelo, CRNP
-
Luverne Abogadie, DNP, AGACNP-BC
-
Khodadad Modjtabai, M.D.
-
Sridevi Praveen, CRNP
-
Songwe Basil, NP
-
Khalilah Jefferson, CRNP
-
Pamela Abina, CRNP
-
Rahma Salam, PA - STUDENT
-
Cathy Diana Hardwick, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051207000901 | MD | Part B Supplier - Clinic/Group Practice | 3274554126 |
Receives reassigned benefits from 22 practitioners Practice locations: Annapolis, MD; Towson, MD; Stevensville, MD; Riverdale, MD; Laurel, MD; Lanham, MD; Glen Burnie, MD; Frederick, MD… |
| O20051213000791 | DC | Part B Supplier - Clinic/Group Practice | 3274554126 |
Receives reassigned benefits from 22 practitioners Practice locations: Bowie, MD; Takoma Park, MD; Riverdale, MD; Lanham, MD; Columbia, MD; Cheverly, MD; Hyattsville, MD |
National Provider Directory
Locations
35 Milkshake Ln
Annapolis, MD 21403
Phone (410) 269-5100
10802 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 964-3888
7211 Bank Ct
Ste 150
Frederick, MD 21703
Phone (301) 418-6611
312 Hospital Dr
Glen Burnie, MD 21061
211 Love Point Rd
Ofc
Stevensville, MD 21666
Phone (410) 997-7677
600 Largo Rd
Uppr
Upper Marlboro, MD 20774
Phone (240) 305-3696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Mailing address
9784 Old Annapolis Rd
Ellicott City, MD 21042-6327
Phone (410) 997-1336
Other practice location 1
6510 Kenilworth Ave Ste 2500
Riverdale, MD 20737-1346
Phone (410) 997-7677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N151 | Other | MD | BLUE CROSS FEDERAL |
| 1142274 | Other | MD | AETNA HMO |
| 164694407A | Medicaid | GA | |
| 36579100 | Medicaid | DC | |
| 606751 | Other | MD | EVERCARE |
| 7416227 | Other | MD | AETNA NON HMO |
| 409510300 | Medicaid | MD | |
| 494C | Other | MD | BLUE CROSS OF MD |
Other names
- INFECTIOUS DISEASE CARE CENTER
Other providers in Columbia, MD
- Imaging Center Maryland, LLC
- Ime Behavioral Health
- Imkelleyllc
- Ogechukwu Imonugo
- Impact Therapeutic & Educational Services LLC
- Victoria Incoom
- Index Care Incorporated
- Infinite Bliss LLC
- Zillah Lise Ingram
- Allison Garrett Innocent
All providers in Columbia, MD · Infectious Disease Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.