Individual
DR. DEEPSHIKHA NAG CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1100 LEAD AVE SE, ALBUQUERQUE, NM 87106-5215
(505) 224-7000
(505) 224-7292
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2016-0067
NM
207RG0100X
Gastroenterology Physician
Primary
MD2016-0067
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2010
Last updated
06/23/2016
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