Provider Demographics
NPI:1790036275
Name:MOHAMMED SALIM CHOWDHURY DPM PC
Entity Type:Organization
Organization Name:MOHAMMED SALIM CHOWDHURY DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-997-2601
Mailing Address - Street 1:200 MARTINE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3403
Mailing Address - Country:US
Mailing Address - Phone:914-997-2601
Mailing Address - Fax:914-437-9426
Practice Address - Street 1:200 MARTINE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3403
Practice Address - Country:US
Practice Address - Phone:914-997-2601
Practice Address - Fax:914-437-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005878213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02321144Medicaid
NYU91908Medicare UPIN