Basic Information
| Provider Information | |||||||||
| NPI: | 1023639416 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOWDHURY | ||||||||
| FirstName: | WALIUL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 641 E. WATERFRONT DR. | ||||||||
| Address2: | APT 4312 | ||||||||
| City: | MUNHALL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3047128670 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1400 LOCUST ST. UPMC MERCY HOSPITAL | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122328111 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2020 | ||||||||
| LastUpdateDate: | 04/25/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 01/10/2022 | ||||||||
| NPIReactivationDate: | 04/25/2022 | ||||||||
| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MT220199 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.