Organization
DADRA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IHTISHAM CHOUDHRY MD (PHYSICIAN)
(928) 201-9286
Entity
Organization
Contact information
Practice address
3706 HIGHWAY 95 STE 101, BULLHEAD CITY, AZ 86442-8226
(928) 201-9286
(928) 219-4610
Mailing address
3706 HIGHWAY 95 STE 101, BULLHEAD CITY, AZ 86442-8226
(928) 201-9286
(928) 219-4610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46421
AZ
Other
Enumeration date
11/12/2014
Last updated
06/09/2020
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