Individual provider · Type 1 NPI

Ufaq Ishtiaq

Student in an Organized Health Care Education/Training Program · Pueblo, CO

NPI number 1629656996 Active

Practice location

1600 N Grand Ave Ste 140
Pueblo, CO 81003-2755

Call (719) 564-1542 Map

Fax (719) 544-2741

Mailing address

400 W 16th St
Pueblo, CO 81003-2745

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDR.0072460 (CO)
Internal Medicine Physician 207R00000XDR-0072460 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6 other providers at this address

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About NPI 1629656996

Ufaq Ishtiaq's National Provider Identifier is 1629656996, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pueblo, CO. The record was last updated on Aug 10, 2026.