Reza Ehsanian, | |
1 University Of New Mexico, Msc10 5615; Unm Neurosurgery; Division Of Pm&r, Albuquerque, NM 87131 | |
(505) 925-7569 | |
Not Available |
Full Name | Reza Ehsanian |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1 University Of New Mexico, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376988535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A155700 (California) | Secondary |
208100000X | Physical Medicine & Rehabilitation | MD2021-0789 (New Mexico) | Primary |
Entity Name | Manzano Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881704096 PECOS PAC ID: 9830093707 Enrollment ID: O20031121000649 |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Entity Name | Zia Healthcare Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497453062 PECOS PAC ID: 8123493269 Enrollment ID: O20230404000034 |
Mailing Address | Practice Location Address |
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Reza Ehsanian, Po Box 91902, Albuquerque, NM 87199-1902 Ph: () - | Reza Ehsanian, 1 University Of New Mexico, Msc10 5615; Unm Neurosurgery; Division Of Pm&r, Albuquerque, NM 87131 Ph: (505) 925-7569 |
Mark A Gould, PA Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8806 Fax: 888-503-8511 | |
Dr. Julie A Muche, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 541-342-2134 Fax: 541-242-4227 | |
Clifford R Stoller, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6100 Seagull St Ne, Suite 106, Albuquerque, NM 87109 Phone: 505-883-4395 Fax: 505-883-4397 | |
Joy Iris Schoenherr, P.T., D.P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 818 Menaul Blvd Nw, Albuquerque, NM 87107 Phone: 505-242-4079 Fax: 505-242-2094 | |
Ms. Debra Green, MSN, C-FNP Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8600 Fax: 888-503-8511 | |
Pranamya Suri, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2100 Louisiana Blvd Ne Ste 410, Albuquerque, NM 87110 Phone: 505-724-4300 Fax: 505-724-4384 | |
Dr. Joshu Alan Raiten, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 500 Walter St Ne, Albuquerque, NM 87102 Phone: 505-727-7177 Fax: 505-727-3778 |