Provider Demographics
NPI:1114006574
Name:CHOWDHURY, NEPAL C (MD)
Entity Type:Individual
Prefix:DR
First Name:NEPAL
Middle Name:C
Last Name:CHOWDHURY
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:PO BOX 4190
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-4190
Mailing Address - Country:US
Mailing Address - Phone:304-399-4405
Mailing Address - Fax:304-399-2526
Practice Address - Street 1:2828 1ST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1236
Practice Address - Country:US
Practice Address - Phone:304-399-7530
Practice Address - Fax:304-399-7532
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22607208600000X
WAMD00044597208600000X
NY212308208600000X
WV22938208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001995135OtherMTN BCBS
WA8418535Medicaid
WV9233078OtherAETNA
OH000000233228Medicaid
WV030028200OtherBLACK LUNG
WV3810010648Medicaid
WV001995135OtherBSMT MOUNTAIN STATE
WA0201765OtherL&I
WV1072433OtherBRICKSTREET
WV613154600OtherBLACK LUNG
WV550357050OtherUNITED MINE WORKERS OF AMERICA
WV171280OtherUNICARE
WV208017790OtherUNITED MINE WORKERS OF AMERICA
OH000000233228OtherUNISON
WV114006574OtherTRICARE
WV4867311OtherCARELINK
WV2176661OtherUHC
OH550357050228Medicaid
WV00480168Medicare PIN
WA0201765OtherL&I
WV030028200OtherBLACK LUNG
WV1072433OtherBRICKSTREET
WV171280OtherUNICARE
OH000000233228Medicaid
WVP00455993Medicare PIN