Provider Demographics
NPI:1417918491
Name:CHOWHAN, ANIKA ZAKA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANIKA
Middle Name:ZAKA
Last Name:CHOWHAN
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 1:8713 DIGGES RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4403
Mailing Address - Country:US
Mailing Address - Phone:703-330-9222
Mailing Address - Fax:703-330-4425
Practice Address - Street 1:8713 DIGGES RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4403
Practice Address - Country:US
Practice Address - Phone:703-330-9222
Practice Address - Fax:703-330-4425
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234548208000000X
MDD0059637208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8389OtherCAREFIRST
VA010183898Medicaid
VA8174805OtherUNITED HEALTH CARE
VA11108305OtherMULTIPLAN
59357OtherAMERIGROUP
VA10239406OtherAMERIGROUP FACETS PROVIDER ID
VA305184OtherANTHEM
VA883640OtherNCPPO
VA9827065OtherAETNA
59357OtherAMERIGROUP