Provider Demographics
NPI:1528083581
Name:MUZIBUL G CHOWDHURY, M.D., P.C.
Entity type:Organization
Organization Name:MUZIBUL G CHOWDHURY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUZIBUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-688-6920
Mailing Address - Street 1:1080 DAY HILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1781
Mailing Address - Country:US
Mailing Address - Phone:860-688-6920
Mailing Address - Fax:860-298-9134
Practice Address - Street 1:1080 DAY HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1781
Practice Address - Country:US
Practice Address - Phone:860-688-6920
Practice Address - Fax:860-298-9134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT016876207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2V2685OtherHEALTHNET
CTHAS690OtherOXFORD
CT0083796OtherAETNA/US HEALTHCARE
CT010016876CT04OtherANTHEM
CT712992OtherCONNECTICARE
CT0083796OtherAETNA/US HEALTHCARE