Provider Demographics
NPI:1134125818
Name:CHOWDHURY, SAEEDA ZAMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAEEDA
Middle Name:ZAMAN
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT STE 212
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4536
Mailing Address - Country:US
Mailing Address - Phone:864-797-6308
Mailing Address - Fax:
Practice Address - Street 1:65 INTERNATIONAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4816
Practice Address - Country:US
Practice Address - Phone:864-987-7000
Practice Address - Fax:864-987-7020
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035376207R00000X
SC28205207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2671946OtherAETNA
SC282054Medicaid
CT001353763Medicaid
CT0Q2111OtherHEALTHNET
CT010035376CT05OtherANTHEM BLUE SHIELD
CT110198535OtherRAILROAD MEDICARE
CT776151OtherCONNECTICARE
CTP2061631OtherOXFORD
CTG46569Medicare UPIN
SC282054Medicaid
CTP2061631OtherOXFORD
SCG46569Medicare UPIN