Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Subia Ishtiaq

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356861579

Subia Ishtiaq is a Student in an Organized Health Care Education/Training Program in Austin, Texas. Practices as a sole proprietor. Licensed in Arizona, Illinois and Texas.

Licensed in
AZ, IL, TX
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2905 Corbin Ln
Austin, TX 78704-5509
Phone: (312) 800-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 36730 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019032303 (IL)

Record details

NPI number1356861579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2017
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address2905 Corbin Ln, Austin, TX 78704-5509

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