Provider Demographics
NPI:1811235740
Name:MOHAMMAD I. CHOWDHURY
Entity Type:Organization
Organization Name:MOHAMMAD I. CHOWDHURY
Other - Org Name:SERENITY HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMININISTRATOR / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:IMTIAZ
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-560-8783
Mailing Address - Street 1:711 W NOLANA AVE
Mailing Address - Street 2:STE. 104-G
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3078
Mailing Address - Country:US
Mailing Address - Phone:956-560-8783
Mailing Address - Fax:956-752-3190
Practice Address - Street 1:711 W NOLANA AVE
Practice Address - Street 2:STE. 104-G
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3078
Practice Address - Country:US
Practice Address - Phone:956-560-8783
Practice Address - Fax:956-752-3190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based