MAYIMRAPHA COMPREHENSIVE HEALTHCARE LLC NPI 1457639262

NPI Information

  • NPI: 1457639262
  • Provider Name: MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 4253 MONTGOMERY BLVD NE STE 220
    ALBUQUERQUE, NM
    ZIP 87109
  • Phone: (505) 881-5307

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NPI Details

MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAYIMRAPHA COMPREHENSIVE HEALTHCARE, LLC NPI is 1457639262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4253 MONTGOMERY BLVD NE STE 220
ALBUQUERQUE, NM
ZIP 87109-130
Phone: (505) 881-5307
Fax: (505) 908-3816

The provider's authorized official is Melanie Ukanwa .
The authorized official title is Owner/physician Provider and has the following contact phone number (505) 881-5307.

The enumeration date for this NPI number is 7/27/2011 and was last updated on 10/24/2025.

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
1133N00000XNutritionistNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3207RA0401XInternal MedicineAddiction MedicineNo
4207Q00000XFamily MedicineYes

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
177671058MEDICAIDNEW MEXICO
259673079MEDICAIDNEW 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: 11/21/2025

NPI Synchronization or Removal

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