| Zia Medical Concierge | |
|
7328 Sandmark Rd Nw Albuquerque NM 87114-6420 | |
| (505) 410-1924 | |
| Not Available |
| Full Name | Zia Medical Concierge |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 9830570936 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912513870 PECOS PAC ID: 8628481637 Enrollment ID: I20210113000367 |
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