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NEW MEXICO FACIAL PLASTICS PC NPI 1760515589


NPI Information

NPI: 1760515589
Provider Name: NEW MEXICO FACIAL PLASTICS PC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
6200 UPTWON BLVD
SUITE 419
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 888-3223
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NEW MEXICO FACIAL PLASTICS PC is an otolaryngology/facial plastic surgery otolaryngology in Albuquerque, NM. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. NEW MEXICO FACIAL PLASTICS PC NPI is 1760515589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6200 UPTWON BLVD
SUITE 419
ALBUQUERQUE, NM
ZIP 87110-159
Phone: (505) 888-3223
Fax: (505) 888-3224

The provider's authorized official is Farhan Taghizadeh .
The authorized official title is President and has the following contact phone number (505) 888-3223.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryMD20050527NEW MEXICONo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckMD20050527NEW MEXICONo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryMD20050527NEW 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
1207YX0905XMEDICAIDNEW MEXICO
2I48108MEDICARE UPIN
3600521046MEDICARE OSCAR/CERTIFICATIONNEW 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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