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HIGH DESERT NEPHROLOGY ASSOCIATES PLLC NPI 1144482860


NPI Information

NPI: 1144482860
Provider Name: HIGH DESERT NEPHROLOGY ASSOCIATES PLLC

Doing Business As: HIGH DESERT NEPHROLOGY ASSOC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1551 S SECOND ST
GALLUP, NM
ZIP 87301
Phone: (505) 863-7993
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HIGH DESERT NEPHROLOGY ASSOCIATES PLLC is a nephrology internal medicine in Gallup, NM. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. HIGH DESERT NEPHROLOGY ASSOCIATES PLLC NPI is 1144482860. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As High Desert Nephrology Assoc.

The provider's business location address is:

1551 S SECOND ST
GALLUP, NM
ZIP 87301-881
Phone: (505) 863-7993
Fax: (505) 863-9406

The provider's authorized official is Oladipo A Adeniyi .
The authorized official title is Owner and has the following contact phone number (505) 863-7993.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 12/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology80-00001863NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117577764MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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