| Chowdhury Medical Associates, Llc. | |
|
5721 Grosvenor Ln Bethesda MD 20814-1833 | |
| (301) 530-1600 | |
| Not Available |
| Full Name | Chowdhury Medical Associates, Llc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5721 Grosvenor Ln, Bethesda, Maryland |
| Authorized Official Name and Position | Nurul A Chowdhury (MEMBER) |
| Authorized Official Contact | 3015302737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chowdhury Medical Associates, Llc. 10012 Edward Ave Bethesda MD 20814-2114 Ph: (301) 530-2737 | Chowdhury Medical Associates, Llc. 5721 Grosvenor Ln Bethesda MD 20814-1833 Ph: (301) 530-1600 |
| NPI Number | 1134662877 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 1355670670 |
|---|---|
| Medicare Enrollment ID | O20190912000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134662877 | NPI | - | NPPES |
| 401333600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Nurul A Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093738635 PECOS PAC ID: 6305877333 Enrollment ID: I20130116000460 |
| Provider Name | Rhoda Sia Ballah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457819526 PECOS PAC ID: 0143556696 Enrollment ID: I20190723000021 |
| Provider Name | Rica Banfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194281451 PECOS PAC ID: 2961898689 Enrollment ID: I20220406001011 |
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