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MD FOR MEN LLC NPI 1750704102


NPI Information

NPI: 1750704102
Provider Name: MD FOR MEN, LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 32D2090736

Address:
8300 CARMEL AVE NE
SUITE 303
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 916-1768
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MD FOR MEN, LLC is an urology in Albuquerque, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MD FOR MEN, LLC NPI is 1750704102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8300 CARMEL AVE NE
SUITE 303
ALBUQUERQUE, NM
ZIP 87122-147
Phone: (505) 916-1768

The provider's authorized official is Sharon Beth Gonzales .
The authorized official title is Cfo and has the following contact phone number (505) 235-4228.

The CLIA number assigned to this NPI record is 32D2090736 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2014 and was last updated on 9/7/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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
186635026MEDICAIDNEW MEXICO
2351971MEDICARE PINNEW 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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