Chowdhry, Imtiaz H
Chowdhry, Imtiaz H is an individual health care provider with primary practice located at 10792 Hickory Ridge Rd , Columbia MD 21044-3646. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chowdhry, Imtiaz H can be contacted via phone (410) 964-3611.Contact Information
Primary practice address
10792 Hickory Ridge Rd
Columbia MD 21044-3646
Phone: (410) 964-3611
Fax: (410) 992-4669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0028921 | Maryland |
Profile Details
| NPI number | 1699741439 |
|---|---|
| LBN Legal business name | Chowdhry, Imtiaz H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Sep 25th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699741439 | NPPES |
| Maryland | Other | 24118 | MAMSI |
| Maryland | MEDICAID | 02311400 | MAMSI |
| Maryland | Other | 525085 | MAMSI |
| Maryland | Other | 8876 | MAMSI |
| Maryland | Other | 306870-01 | MAMSI |
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