Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 7757 | AL |
NPI | 1437108305 |
---|---|
Provider Name | Samar K. Bhowmick |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-1512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 01/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00122158 | (05) | MS |
009927370 | (05) | AL |
1428604 | (05) | LA |
259905800 | (05) | FL |
33-10000 | UNITED HEALTHCARE (01) | AL |
51098154 | BCBS CENTER ST (01) | AL |
51098155 | BCBS SPRINGHILL (01) | AL |
H31227 | (02) |