Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 35707 | CO |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 35707 | CO |
NPI | 1649225749 |
---|---|
Provider Name | Khalid Chowdhury |
First Address | Denver, CO 80218-1216 |
Second Address | Denver, CO 80218-1216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 27/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01357078 | (05) | CO |
E62868 | (02) | CO |