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GRAY PEARLS LLC NPI 1932562360


NPI Information

NPI: 1932562360
Provider Name: GRAY PEARLS LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2506 TRAMWAY TERRACE CT NE
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 506-1984
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GRAY PEARLS LLC is a geriatric medicine family medicine in Albuquerque, NM. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GRAY PEARLS LLC NPI is 1932562360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2506 TRAMWAY TERRACE CT NE
ALBUQUERQUE, NM
ZIP 87122-317
Phone: (505) 506-1984

The provider's authorized official is Ellen Kim .
The authorized official title is Sole Member/physician and has the following contact phone number (505) 506-1984.

The enumeration date for this NPI number is 4/2/2016 and was last updated on 4/2/2016.


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
1207QG0300XFamily MedicineGeriatric Medicine97-289NEW 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: 11/14/2023

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