Basic Information
Provider Information
NPI: 1851346647
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOWDHURY
FirstName: LUCIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 5450 FRANTZ RD STE 360
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164141
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5100 W BROAD ST
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432281607
CountryCode: US
TelephoneNumber: 6145442058
FaxNumber: 6145442444
Other Information
ProviderEnumerationDate: 05/23/2006
LastUpdateDate: 12/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X35.081562OHN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X35081562OHY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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