Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD432645 | PA |
NPI | 1184819120 |
---|---|
Provider Name | Devyani Chowdhury |
First Address | Lancaster, PA 17601-6463 |
Second Address | Lancaster, PA 17601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 12/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD432645 | MEDICAL LICENSE (01) | PA |