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Contact Information

ANDREI C GASIC, MD
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM87109-1219
 Phone: 505-727-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANDREI C GASIC · (Male)

NPI # 1184623407
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MT License # 126887
  • NM License # MD2021-0949
  • OR License # MD219009
  • TX License # H2396
  • NM Other MD2021-0949 STATE LICENSE
  • TX Other H2396 LICENSE
Hospital affiliation(s)
  • EAST TEXAS MEDICAL CENTER - (Acute Care)
    1000 SOUTH BECKHAM STREET
    TYLER, TX 75701
  • LOVELACE WOMEN'S HOSPITAL - (Acute Care)
    4701 MONTGOMERY BOULEVARD NE
    ALBUQUERQUE, NM 87109
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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