The calculated distance (air line) between Türkmenabat and Ishtixon Shahri is approximately 167 miles respectively 268 kilometers.
By car or train, the actual journey to Ishtixon Shahri is certainly longer, as only the direct route (as the crow flies) between Türkmenabat and Ishtixon Shahri has been calculated here.
Air line (approximately)
268 kilometers
145 nautical miles