Organization · NPI-2

Dadra Community Care PC

Internal Medicine · Bullhead City, AZ

NPI number1114657517
StatusActive
Last updated in NPPESSep 2, 2022

Details

NPI
1114657517
Entity type
Organization (NPI-2)
Legal business name
Dadra Community Care PC
Organization subpart
No
Enumeration date
Jun 16, 2022
Certification date
Sep 2, 2022
Last updated
Sep 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Dadra Community Care PC (Doing Business As)

Practice location

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Phone 928-201-9286 · Fax 928-219-4610

Mailing address

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226

Phone 928-201-9286 · Fax 928-219-4610

Authorized official

Ihtisham Choudhry
Medical Director / Owner
7029019001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Bullhead City, AZ