Individual
CHOWDHURY AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 N TENAYA WAY, STE.#320, LAS VEGAS, NV 89128-0443
(702) 240-6482
(702) 804-0957
Mailing address
700 E. SILVERADO RANCH BLVD., STE.#170, LAS VEGAS, NV 89183-7518
(702) 240-6482
(702) 804-0957
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
000000A84917
CA
207RC0000X
Cardiovascular Disease Physician
Primary
12110
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512207
—
NV
01
—
P00172294
RR MEDICARE
CA
Enumeration date
10/16/2006
Last updated
05/23/2013
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