Provider Demographics
NPI:1033591516
Name:CHOWDHARY, ANYA
Entity Type:Individual
Prefix:DR
First Name:ANYA
Middle Name:
Last Name:CHOWDHARY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:JOURAVLEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7862 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9629
Mailing Address - Country:US
Mailing Address - Phone:317-576-9393
Mailing Address - Fax:765-651-9501
Practice Address - Street 1:7862 E 96TH ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9629
Practice Address - Country:US
Practice Address - Phone:317-576-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012348A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice