Provider Demographics
NPI:1023639416
Name:CHOWDHURY, WALIUL (MD,)
Entity type:Individual
Prefix:MR
First Name:WALIUL
Middle Name:
Last Name:CHOWDHURY
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 E. WATERFRONT DR.
Mailing Address - Street 2:APT 4312
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120
Mailing Address - Country:US
Mailing Address - Phone:304-712-8670
Mailing Address - Fax:
Practice Address - Street 1:1400 LOCUST ST. UPMC MERCY HOSPITAL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-232-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2022-04-25
Deactivation Date:2022-01-10
Deactivation Code:
Reactivation Date:2022-04-25
Provider Licenses
StateLicense IDTaxonomies
PAMT220199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine