Organization
CHOWDHURY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOAIB A CHOWDHURY MD (MD)
(231) 779-9960
Entity
Organization
Contact information
Practice address
8795 PINE RIDGE DR, STE B, CADILLAC, MI 49601-9777
(231) 779-9960
(231) 779-8945
Mailing address
8795 PINE RIDGE DR, STE B, CADILLAC, MI 49601-9777
(231) 779-9960
(231) 779-8945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
4301078654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108300652
BLUE CROSS
MI
01
—
110H310810
BLUE CROSS
MI
05
—
433661610
—
MI
Enumeration date
01/20/2009
Last updated
11/29/2012
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