Provider Demographics
NPI:1851032981
Name:CHOWDHURY, MOHAMMAD ALAMIR (RPT)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:ALAMIR
Last Name:CHOWDHURY
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CHICAGO RD STE D
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-5033
Mailing Address - Country:US
Mailing Address - Phone:586-978-9850
Mailing Address - Fax:586-978-9851
Practice Address - Street 1:39591 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-4300
Practice Address - Country:US
Practice Address - Phone:596-412-4964
Practice Address - Fax:586-412-6995
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501021583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist