Organization · NPI-2

Dadra Medical PC

Internal Medicine · Bullhead City, AZ

NPI number1407252844
StatusActive
Last updated in NPPESJun 9, 2020

Details

NPI
1407252844
Entity type
Organization (NPI-2)
Legal business name
Dadra Medical PC
Organization subpart
No
Enumeration date
Nov 12, 2014
Certification date
Jun 9, 2020
Last updated
Jun 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine46421AZYes

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
Physician
9282019286

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