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6121 Indian School Rd Ne Ste 143 Albuquerque NM 87110-3176 | |
| (413) 726-4799 | |
| (505) 213-6301 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6121 Indian School Rd Ne Ste 143, Albuquerque, New Mexico |
| Authorized Official Name and Position | Shashwat Pandhi (OWNER) |
| Authorized Official Contact | 5055424970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6121 Indian School Rd Ne Ste 143 Albuquerque NM 87110-3176 Ph: (505) 542-4970 | 6121 Indian School Rd Ne Ste 143 Albuquerque NM 87110-3176 Ph: (413) 726-4799 |
| NPI Number | 1851147060 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 10/06/2024 |
| Certification Date | 10/06/2024 |
| Medicare PECOS PAC ID | 4688109671 |
|---|---|
| Medicare Enrollment ID | O20241127003160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851147060 | NPI | - | NPPES |
| 76487326 | Medicaid | NM |
| Provider Name | Shashwat A Pandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760749600 PECOS PAC ID: 4587898200 Enrollment ID: I20200721000278 |
| Provider Name | Evelyn Plumb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619345022 PECOS PAC ID: 5395155485 Enrollment ID: I20201030001175 |
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