Organization
PRADEEPTA CHOWDHURY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEPTA CHOWDHURY MD (OWNER)
(808) 961-3404
Entity
Organization
Contact information
Practice address
670 PONAHAWAI ST, STE 116, HILO, HI 96720-7831
(808) 961-3404
(808) 961-5460
Mailing address
670 PONAHAWAI ST, STE 116, HILO, HI 96720-7831
(808) 961-3404
(808) 961-5460
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10069
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121202
—
HI
01
—
10069
OTHER INSURANCES
HI
Enumeration date
08/20/2006
Last updated
02/04/2014
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