Provider Demographics
NPI:1528262714
Name:CHOWDHARY, HUMERA ARIF (MD)
Entity type:Individual
Prefix:
First Name:HUMERA
Middle Name:ARIF
Last Name:CHOWDHARY
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 1:3413 RAMBLING WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7601
Mailing Address - Country:US
Mailing Address - Phone:972-741-6530
Mailing Address - Fax:
Practice Address - Street 1:2026 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-0644
Practice Address - Country:US
Practice Address - Phone:940-380-7198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM71142084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP5-0026837OtherINSTITUTIONAL PERMIT
TX206471901Medicaid