Individual
DR. IFTIKHAR ALI CH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
914 S SCHEUBER RD, PROVIDENCE CENTRALIA HOS- EKG, CENTRALIA, WA 98531-9027
(370) 736-2803
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60275888
WA
Other
Enumeration date
10/28/2008
Last updated
11/21/2014
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