Provider Demographics
NPI:1356238257
Name:CHOWDHURY, NAIRYN
Entity type:Individual
Prefix:
First Name:NAIRYN
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 FRIENDSHIP ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4203
Mailing Address - Country:US
Mailing Address - Phone:267-679-4704
Mailing Address - Fax:267-679-4704
Practice Address - Street 1:1227 FRIENDSHIP ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-4203
Practice Address - Country:US
Practice Address - Phone:267-679-4704
Practice Address - Fax:267-679-4704
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10445716-0001374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty