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Contact Information

CARLOS H CORRAL, MD
11700 W 2ND PL STE 280
LAKEWOOD, CO80228-1717
 Phone: 720-321-8680
 Fax: 720-321-8681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARLOS H CORRAL · (Male)

NPI # 1245212539
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 11/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 59284
  • MT License # 101130
  • NM License # 90170
  • TX License # G2120
  • TX Medicaid 122858703
  • Other 330003968 RAILROAD MEDICARE
  • NM Other 900522525 MEDICARE GROUP
  • NM Other 000X3247 SALUD PROGRAMS MEDICAID
Hospital affiliation(s)
  • MOUNTAIN VIEW REGIONAL MEDICAL CENTER - (Acute Care)
    4311 EAST LOHMAN AVENUE
    LAS CRUCES, NM 88011
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
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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