Provider Demographics
NPI:1609899418
Name:CHOWDHURY, NABILA (MD)
Entity Type:Individual
Prefix:
First Name:NABILA
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NABILA
Other - Middle Name:
Other - Last Name:ANOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 LAWRENCE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3301
Mailing Address - Country:US
Mailing Address - Phone:610-492-5900
Mailing Address - Fax:610-492-5903
Practice Address - Street 1:30 LAWRENCE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3301
Practice Address - Country:US
Practice Address - Phone:610-492-5900
Practice Address - Fax:610-492-5903
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444205207RX0202X
IL036114079208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA240679P4UMedicare PIN
I 39586Medicare UPIN