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Contact Information

MUSTAPHA K ABOUDA, MD
1302 E CALLE DE MERCED
ESPAÑOLA, NM87532
 Phone: 505-753-9292
 Fax: 505-753-1866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MUSTAPHA K ABOUDA · (Male)

NPI Number 1477654697
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 04/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # M020550567
  • NM Medicaid 98800825
  • NM Other NM009X52 BCBS
  • NM Other 90382 LOVELACE COMMERCIAL
  • NM Other SX159 LOVELACE SALUD
  • NM Other QMYPR0070730 MOLINA
  • NM Other 202005111 PRESBYTERIAN
Hospital affiliation(s)
  • ESPANOLA HOSPITAL - (Acute Care)
    1010 SPRUCE STREET
    ESPANOLA, NM 87532
  • LOS ALAMOS MEDICAL CENTER - (Acute Care)
    3917 WEST ROAD
    LOS ALAMOS, NM 87544
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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