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Contact Information

TAMARA GOODMAN, MD
4901 LANG AVE NE
ALBUQUERQUE, NM87109-4495
 Phone: 505-842-8171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TAMARA GOODMAN · (Female)

NPI # 1013056282
Status Active
Credentials MD
Entity Individual
Enumeration date 02/05/2007
Last updated 09/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # MD2006-0823
  • NM Medicaid 22705325
Hospital affiliation(s) Not Available
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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