Individual
ISHTIAQ CHOWDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 SIENA HEIGHTS DR STE 1400, HENDERSON, NV 89052-4164
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9260
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467423822
—
NV
01
—
EJ169Z
MEDICARE REVALIDATION
NV
Enumeration date
02/01/2006
Last updated
02/19/2024
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