National Provider Identifier Database

CARMELITA AGODON, MD – NPI #1710965272
Pain Medicine

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.


Contact Information

CARMELITA AGODON, MD
1901 REDROCK DR
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM87301-5683
Phone: 505-863-7120
Fax:
Website:
Specialty Taxonomy Code
* Pain Medicine 207LP2900X

* Indicates primary specialty

NPI Profile & details for CARMELITA AGODON

NPI Number 1710965272
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 2001-01
  • NM Medicaid: 48126705
  • Other: 85031326887301A159 CHAMPUS
  • Other: P00200853 RAILROAD MEDICARE
  • Other: P00211389 RAILROAD MEDICARE
  • AZ Other: 768781 AHCCCS
  • NM Other: NM009E83 BC/BS
  • NM Other: 10004799 LOVELACE HEALTH/SALUD
  • NM Other: PROVP11034 MOLINA
Hospital affiliation n/a

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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