Provider Demographics
NPI:1033114459
Name:CHOWDHARY, SULTAN ALEEM (MD)
Entity type:Individual
Prefix:DR
First Name:SULTAN
Middle Name:ALEEM
Last Name:CHOWDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4611
Mailing Address - Country:US
Mailing Address - Phone:817-759-7000
Mailing Address - Fax:817-759-7027
Practice Address - Street 1:4201 MEDICAL CENTER DR STE 180
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1778
Practice Address - Country:US
Practice Address - Phone:817-759-0000
Practice Address - Fax:817-759-7027
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8960207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX830002198OtherRAILROAD MEDICARE
TX047156701Medicaid
TX083503501Medicaid
TX0385910001Medicare NSC
TX88X670Medicare PIN
G08204Medicare UPIN
TX047156701Medicaid
TX0385910002Medicare NSC
TX8373B7Medicare PIN