| United Wound & Vascular Institute New Mexico | |
|
100 Sun Ave Ne Ste 650 Albuquerque NM 87109-4670 | |
| (888) 402-0202 | |
| (888) 860-2960 |
| Full Name | United Wound & Vascular Institute New Mexico |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Sun Ave Ne Ste 650, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kimberly Miller (DIRECTOR OF RCM) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Wound & Vascular Institute New Mexico Po Box 83264 Chicago IL 60691-0264 Ph: (248) 607-0037 | United Wound & Vascular Institute New Mexico 100 Sun Ave Ne Ste 650 Albuquerque NM 87109-4670 Ph: (888) 402-0202 |
| NPI Number | 1255199352 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 0446690994 |
|---|---|
| Medicare Enrollment ID | O20240430004248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255199352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Devang R Butani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245585017 PECOS PAC ID: 6507087228 Enrollment ID: I20170517000599 |
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