Individual
DR. SHOAIB AHMED CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8795 PINE RIDGE DR, STE B, CADILLAC, MI 49601-9720
(231) 779-9960
(231) 779-8945
Mailing address
8795 PINE RIDGE DR, STE B, CADILLAC, MI 49601-9720
(231) 779-9960
(231) 779-8945
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301078654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110245345
RAILROAD MEDICARE
MI
01
—
1108300652
BLUE CROSS
MI
05
—
433661610
—
MI
Enumeration date
07/14/2006
Last updated
07/21/2014
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