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Contact Information

RAHA M MOBARAK, DPM
2800 DORAL CT
LAS CRUCES, NM88011-8616
 Phone: 575-521-0055
 Fax: 575-521-0077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RAHA M MOBARAK · (Male)

NPI Number 1275742074
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/21/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 311
  • NM License # 402
  • TX License # 1933
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER INC - (Acute Care)
    2450 SOUTH TELSHOR BLVD
    LAS CRUCES, NM 88011
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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