Individual
DR. KHAZA CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR # 2-WEST, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-2052
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME103890
FL
208M00000X
Hospitalist Physician
25MA08263100
NJ
208M00000X
Hospitalist Physician
Primary
ME103890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142131
—
FL
01
—
115292
MEDICARE PTAN
FL
01
—
145YP
BCBS
FL
Enumeration date
08/20/2007
Last updated
03/24/2021
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