Provider Demographics
NPI:1073988259
Name:BASHIR A CHOWDHRY CARDIAC & THORACIC SURGEONS OF NEVADA PC
Entity Type:Organization
Organization Name:BASHIR A CHOWDHRY CARDIAC & THORACIC SURGEONS OF NEVADA PC
Other - Org Name:CARDIAC & THORACIC SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BASHIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOWDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-454-7311
Mailing Address - Street 1:4160 S PECOS RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5025
Mailing Address - Country:US
Mailing Address - Phone:702-454-7311
Mailing Address - Fax:702-454-1197
Practice Address - Street 1:4160 S PECOS RD
Practice Address - Street 2:SUITE 10
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5025
Practice Address - Country:US
Practice Address - Phone:702-454-7311
Practice Address - Fax:702-454-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty