Provider Demographics
NPI:1528048527
Name:CHOWDHURY, ZINNAT A (MD)
Entity type:Individual
Prefix:DR
First Name:ZINNAT
Middle Name:A
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZINNAT
Other - Middle Name:
Other - Last Name:ARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-840-4534
Mailing Address - Fax:856-762-2853
Practice Address - Street 1:C/O 200 BOWMAN DR., SUITE E385 BACK
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-840-4534
Practice Address - Fax:856-762-2853
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07323600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8642605Medicaid
NJH50974Medicare UPIN
NJ8642605Medicaid