Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 042307 | CT |
NPI | 1003963117 |
---|---|
Provider Name | Nazmul Chowdhury |
First Address | New Haven, CT 06510-3206 |
Second Address | New Haven, CT 06511-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 10/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104632 | (02) | CT |