MEDICARE: DR. ISMAT GULZAR CHAUDHERY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	7837	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437210002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISMAT GULZAR CHAUDHERY MD

Provider Business Mailing Address
First Line	:	2901 N TENAYA WAY STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1404
Country	:	US
Telephone Number	:	702-255-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7580 W SAHARA AVE FL 2
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2742
Country	:	US
Telephone Number	:	702-255-0500
Fax Number	:	702-821-1704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	01/10/2024

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