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MYO CARDIOVASCULAR CLINIC NPI 1487024758


NPI Information

NPI: 1487024758
Provider Name: MYO CARDIOVASCULAR CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1790 GRANDE BLVD SE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 892-0402
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MYO CARDIOVASCULAR CLINIC is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MYO CARDIOVASCULAR CLINIC NPI is 1487024758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1790 GRANDE BLVD SE
RIO RANCHO, NM
ZIP 87124-726
Phone: (505) 892-0402
Fax: (505) 892-5544

The provider's authorized official is Armin Foghi .
The authorized official title is Md and has the following contact phone number (505) 892-0402.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.


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
1174400000XSpecialistMD2005-0713NEW 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
11912218207MEDICARE UPINNEW MEXICO
261026751MEDICAIDNEW 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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