NPIMap

Organization Active NPI

Dadra Community Care PC

  • Internal Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1114657517
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DADRA COMMUNITY CARE PC
Doing business as
Dadra Community Care PC
Practice address
3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone
(928) 201-9286
Fax
(928) 219-4610
NPI assigned
Jun 16, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ihtisham Choudhry, MDNPI 1790985273
Title
Medical Director / Owner
Phone
(702) 901-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

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

Mailing address

3706 Highway 95 Ste 101
Bullhead City, AZ 86442-8226
Phone (928) 201-9286

Other names 1

  • Dadra Community Care PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dadracommunitycarepc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3706 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 201-9286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1114657517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 HIGHWAY 95 STE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428226",
            "telephone_number": "928-201-9286",
            "fax_number": "928-219-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADRA COMMUNITY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "IHTISHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "702-901-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dadracommunitycarepc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email address",
            "address_1": "3706 Highway 95 Ste 101",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dadra Community Care PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dadra Community Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.