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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629656996

Ufaq Ishtiaq is a Student in an Organized Health Care Education/Training Program in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1600 N Grand Ave Ste 140
Pueblo, CO 81003-2755
Phone: (719) 564-1542
Fax: (719) 544-2741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DR.0072460 (CO)

Record details

NPI number1629656996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2021
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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