Individual
IMTIAZ H CHOWDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10792 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 964-3611
(410) 992-4669
Mailing address
10792 HICKORY RIDGE RD, COLUMBIA, MD 21044-3646
(410) 964-3611
(410) 992-4669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0028921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02311400
—
MD
01
—
24118
MAMSI
MD
01
—
306870-01
BLUE SHIELD
MD
01
—
525085
AETNA
MD
01
—
8876
FED BS
MD
Enumeration date
02/23/2006
Last updated
09/25/2012
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