Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 60650131 | WA |
NPI | 1326334491 |
---|---|
Provider Name | Dr. Aisha Choudhry |
First Address | Tacoma, WA 98405-4933 |
Second Address | Tacoma, WA 98405-4933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2068052 | (05) | WA |