Individual
CHOWDHURY SHAKHAWAT JAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 MEDICAL PLZ, GLEN COVE, NY 11542-2108
(516) 656-8000
Mailing address
8510 120TH ST APT 201, KEW GARDENS, NY 11415-3112
(516) 503-9277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P127388
NY
Other
Enumeration date
07/31/2024
Last updated
08/01/2024
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