Provider Demographics
NPI:1255656989
Name:CHOWDHURY, SOMNATH (MD)
Entity Type:Individual
Prefix:DR
First Name:SOMNATH
Middle Name:
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 1:19161 GOLDWIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7221
Mailing Address - Country:US
Mailing Address - Phone:248-356-0013
Mailing Address - Fax:
Practice Address - Street 1:20280 MIDDLEBELT RD STE 500
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2002
Practice Address - Country:US
Practice Address - Phone:248-987-1270
Practice Address - Fax:248-987-1271
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096435207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine