MARANLLC NPI 1023427796

NPI Information

  • NPI: 1023427796
  • Provider Name: MARANLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: MEDICUS
  • Address: 10401 MONTGOMERY PKWY NE
    ALBUQUERQUE, NM
    ZIP 87111
  • Phone: (505) 234-1040

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NPI Details

MARANLLC is a primary care clinic center in Albuquerque, NM. MARANLLC NPI is 1023427796. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicus.

The provider's business location address is:

10401 MONTGOMERY PKWY NE
ALBUQUERQUE, NM
ZIP 87111-876
Phone: (505) 234-1040
Fax: (505) 293-7183

The provider's authorized official is Andrei V Marchenko .
The authorized official title is Phisician and has the following contact phone number (505) 234-1040.

The enumeration date for this NPI number is 8/7/2014 and was last updated on 8/7/2014.

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
1261QP2300XClinic/CenterPrimary CareCNP01745NEW MEXICOYes

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: 11/21/2025

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