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MEDCLUB VIP LLC NPI 1932600673


NPI Information

NPI: 1932600673
Provider Name: MEDCLUB VIP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4325 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 433-4007
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MEDCLUB VIP 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. MEDCLUB VIP LLC NPI is 1932600673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4325 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87107-810
Phone: (505) 433-4007
Fax: (505) 433-4068

The provider's authorized official is Rick Cardenas .
The authorized official title is Medical Director and has the following contact phone number (505) 433-4007.

The enumeration date for this NPI number is 2/27/2018 and was last updated on 2/6/2019.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208600000XSurgeryNo
4208D00000XGeneral PracticeNo
5207Q00000XFamily MedicineYes

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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