Provider Demographics
NPI:1407415219
Name:CHOWDHURY, LYNDA (MD)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:CHOWDHURY
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 1:1409 N ZANG BLVD APT 622
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1232
Mailing Address - Country:US
Mailing Address - Phone:832-264-1751
Mailing Address - Fax:
Practice Address - Street 1:1409 N ZANG BLVD APT 622
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1232
Practice Address - Country:US
Practice Address - Phone:832-264-1751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT8786207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT8786Medicaid
TXBP10067923Medicaid