KENNETH PAUL GOLDBLUM M.D. NPI 1720085889

NPI Information

NPI: 1720085889
Provider Name: KENNETH PAUL GOLDBLUM, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
303 MULBERRY NE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 243-9739
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Kenneth Paul Goldblum, M.D. is an ophthalmology in Albuquerque, NM. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Kenneth Paul Goldblum, M.D. NPI is 1720085889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

303 MULBERRY NE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 243-9739
Fax: (505) 842-0650

The enumeration date for this NPI number is 7/5/2005 and was last updated on 11/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		71-145	NEW MEXICO	No
2	207W00000X	Ophthalmology		NM145	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C97798	MEDICARE UPIN	NEW MEXICO
2	2120562	MEDICARE ID-TYPE UNSPECIFIED	NEW 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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