Individual
ISHAM A HUIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Mailing address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-00018
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2009-00018
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
CDRH.0059734
CO
207RP1001X
Pulmonary Disease Physician
2009-00018
NC
207RP1001X
Pulmonary Disease Physician
CDRH.0059734
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151W2
BCBSNC
NC
05
—
5911036
—
NC
01
—
P00835184
MEDICARE RAILROAD - 0322 GROUP
NC
Enumeration date
03/13/2007
Last updated
06/14/2024
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