1114006574 NPI number — DR. NEPAL C. CHOWDHURY M.D.

Table of content: DR. NEPAL C. CHOWDHURY M.D. (NPI 1114006574)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114006574 NPI number — DR. NEPAL C. CHOWDHURY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHOWDHURY
Provider First Name:
NEPAL
Provider Middle Name:
C.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114006574
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4190
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARBOURSVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25504-4190
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-399-4405
Provider Business Mailing Address Fax Number:
304-399-2526

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2828 1ST AVE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25702-1236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-399-7530
Provider Business Practice Location Address Fax Number:
304-399-7532
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  22607 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: MD00044597 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 212308 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 22938 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208G00000X , with the licence number: 22938 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001995135 . This is a "MTN BCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 8418535 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9233078 . This is a "AETNA" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 000000233228 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 030028200 . This is a "BLACK LUNG" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 3810010648 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001995135 . This is a "BSMT MOUNTAIN STATE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 0201765 . This is a "L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 1072433 . This is a "BRICKSTREET" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 613154600 . This is a "BLACK LUNG" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 550357050 . This is a "UNITED MINE WORKERS OF AMERICA" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 171280 . This is a "UNICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 208017790 . This is a "UNITED MINE WORKERS OF AMERICA" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 000000233228 . This is a "UNISON" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 114006574 . This is a "TRICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 4867311 . This is a "CARELINK" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 2176661 . This is a "UHC" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 550357050228 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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