Provider Demographics
NPI:1801006507
Name:FERDOUS, CHOWDHURY SAKERA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHOWDHURY
Middle Name:SAKERA
Last Name:FERDOUS
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 1:300 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5403
Mailing Address - Country:US
Mailing Address - Phone:617-632-8762
Mailing Address - Fax:617-632-9150
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-2845
Practice Address - Fax:617-667-2845
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52103207R00000X
NC2018-00390208M00000X
PATMD004813208M00000X
PAMD472519208M00000X
MA291356207RB0002X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program