Provider Demographics
NPI:1407302938
Name:CHOWDHURY, KAMRAN AHMED (PHARM D)
Entity Type:Individual
Prefix:
First Name:KAMRAN
Middle Name:AHMED
Last Name:CHOWDHURY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 BAINBRIDGE AVE
Mailing Address - Street 2:3B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3938
Mailing Address - Country:US
Mailing Address - Phone:347-781-6957
Mailing Address - Fax:
Practice Address - Street 1:3050 BAINBRIDGE AVE
Practice Address - Street 2:3B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3938
Practice Address - Country:US
Practice Address - Phone:347-781-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062117-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist