Basic Information
| Provider Information | |||||||||
| NPI: | 1417918491 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHOWHAN | ||||||||
| FirstName: | ANIKA | ||||||||
| MiddleName: | ZAKA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8713 DIGGES RD | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201104403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033309222 | ||||||||
| FaxNumber: | 7033304425 | ||||||||
| Practice Location | |||||||||
| Address1: | 8713 DIGGES RD | ||||||||
| Address2: | |||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201104403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033309222 | ||||||||
| FaxNumber: | 7033304425 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2006 | ||||||||
| LastUpdateDate: | 05/23/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 0101234548 | VA | Y | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | D0059637 | MD | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 8389 | 01 | VA | CAREFIRST | OTHER | 010183898 | 05 | VA | MEDICAID | 8174805 | 01 | VA | UNITED HEALTH CARE | OTHER | 11108305 | 01 | VA | MULTIPLAN | OTHER | 59357 | 01 | AMERIGROUP | OTHER | 10239406 | 01 | VA | AMERIGROUP FACETS PROVIDER ID | OTHER | 305184 | 01 | VA | ANTHEM | OTHER | 883640 | 01 | VA | NCPPO | OTHER | 9827065 | 01 | VA | AETNA | OTHER |