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NPI Profile for CENTER FOR VEIN RESTORATION NM LLC in RIO RANCHO, NM.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI # | 1891342994 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/22/2019 | |
| Last updated | 04/30/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CENTER FOR VEIN RESTORATION NM LLC
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| NEW MEXICO DENTAL CLINICS LLC 1594 SARA RD SE STE C RIO RANCHO, NM |
| AZHARUDDIN M SOUDAGAR, MD 2400 UNSER BLVD SE RIO RANCHO, NM |
| CVS PHARMACY, INC. 1001 NM 528 SE RIO RANCHO, NM |
| CARLOS A RUEDA MANTILLA, MD 3821 MASTHEAD ST NE ALBUQUERQUE, NM |
| PETER GUIDO, MD 4700 JEFFERSON ST NE ALBUQUERQUE, NM |
| BERNARD M AGBEMADZO, MD PMG HEMATOLOGY/ONCOLOGY ALBUQUERQUE, NM |
| MIGUEL PELLERANO, MD PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE ALBUQUERQUE, NM |
| KATHERINE B LEE, MD 10101 LAGRIMA DE ORO NE ALBUQUERQUE, NM |
| KENNETH A BELL, DO 2901 TRANSPORT ST SE ALBUQUERQUE, NM |
| RICHARD C LAUER, MD 1201 CAMINO DE SALUD NE ALBUQUERQUE, NM |
CENTER FOR VEIN RESTORATION NM LLC