Provider Demographics
NPI:1225733264
Name:CHOWDHURY, ISHMUM ZIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISHMUM
Middle Name:ZIA
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:JACOBI MEDICAL CENTER
Mailing Address - Street 2:1400 PELHAM PKWY SOUTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-5640
Mailing Address - Fax:718-918-7460
Practice Address - Street 1:JACOBI MEDICAL CENTER
Practice Address - Street 2:1400 PELHAM PKWY SOUTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5640
Practice Address - Fax:718-918-7460
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program