Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD-39019 | IA |
N | 208200000X | Surgeon | MD-39019 | IA |
N | 208600000X | Surgeon | MD-39019 | IA |
NPI | 1821252750 |
---|---|
Provider Name | Dr. Qasim Latif Chaudhry |
First Address | West Des Moines, IA 50266-9313 |
Second Address | Des Moines, IA 50309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 17/08/2021 |