Basic Information
Provider Information
NPI: 1043624919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOWDHURY
FirstName: JUNAD
MiddleName: MIR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 37174
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212973174
CountryCode: US
TelephoneNumber: 5714235699
FaxNumber: 5714235698
Practice Location
Address1: 3300 GALLOWS RD
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220423307
CountryCode: US
TelephoneNumber: 7037764001
FaxNumber: 7037767113
Other Information
ProviderEnumerationDate: 06/18/2014
LastUpdateDate: 04/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD462548PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X0101271495VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X0101271495VAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
208M00000XMD462548PAN Allopathic & Osteopathic PhysiciansHospitalist 
207RP1001X0101271495VAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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