Zia Medical Concierge | |
7328 Sandmark Rd Nw Albuquerque NM 87114-6420 | |
(505) 410-1924 | |
Not Available |
Full Name | Zia Medical Concierge |
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Speciality | Clinic/Center |
Location | 7328 Sandmark Rd Nw, Albuquerque, New Mexico |
Authorized Official Name and Position | Devang R Butani (CEO) |
Authorized Official Contact | 5054101924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zia Medical Concierge 1380 Rio Rancho Dr Se # 262 Albuquerque NM 87124-1006 Ph: (505) 410-1924 | Zia Medical Concierge 7328 Sandmark Rd Nw Albuquerque NM 87114-6420 Ph: (505) 410-1924 |
NPI Number | 1780337378 |
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Provider Enumeration Date | 02/02/2022 |
Last Update Date | 04/10/2023 |
Certification Date | 04/10/2023 |
Medicare PECOS PAC ID | 9830570936 |
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Medicare Enrollment ID | O20220720004008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780337378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ariel A Nunez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912513870 PECOS PAC ID: 8628481637 Enrollment ID: I20210113000367 |
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