Individual
M FATIN ISHTIAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3770
(332) 260-8749
Mailing address
506 6TH STREET, BROOKLYN, NY 11215
(718) 780-5130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34561
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2022
Last updated
07/07/2025
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