Individual
SHAHIN A CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(918) 407-2575
Mailing address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(918) 407-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101015568
MI
207R00000X
Internal Medicine Physician
M3995
TX
207RX0202X
Medical Oncology Physician
Primary
070866
GA
207RX0202X
Medical Oncology Physician
5013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070866
GEORGIA MEDICAL LICENSE
GA
Enumeration date
06/28/2006
Last updated
06/30/2021
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