| Desert Bloom Health Collaborative Llc | |
|
6121 Indian School Rd Ne Ste 143 Albuquerque NM 87110-3176 | |
| (413) 726-4799 | |
| (505) 213-6301 |
| Full Name | Desert Bloom Health Collaborative Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6121 Indian School Rd Ne Ste 143, Albuquerque, New Mexico |
| Authorized Official Name and Position | Shashwat Pandhi (CO-OWNER) |
| Authorized Official Contact | 5055424970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Bloom Health Collaborative Llc 7704 Cedar Canyon Pl Ne Albuquerque NM 87122-1609 Ph: (413) 726-4799 | Desert Bloom Health Collaborative Llc 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 | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851147060 | NPI | - | NPPES |
| 29131341 | Medicaid | NM |
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