Individual
ALIYA ANNETTE KHALID CHAUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1302 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0246
(702) 657-9555
(702) 657-9040
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2038
NV
364SF0001X
Family Health Clinical Nurse Specialist
PA2038
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629545421
—
NV
01
—
PA2038
STATE LICENSE
NV
Enumeration date
10/30/2018
Last updated
12/27/2018
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