Abouda, Mustapha Kamel

Abouda, Mustapha Kamel is an individual health care provider with primary practice located at 1302 E Calle De Merced , Espanola NM 87532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abouda, Mustapha Kamel can be contacted via phone (505) 753-9292.

Contact Information

Primary practice address
1302 E Calle De Merced Espanola NM 87532
Fax: (505) 753-1866
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M020550567 New Mexico

Profile Details

NPI number 1477654697
LBN Legal business name Abouda, Mustapha Kamel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477654697 NPPES
New Mexico Other 202005111 PRESBYTERIAN
New Mexico MEDICAID 98800825 PRESBYTERIAN
New Mexico Other SX159 PRESBYTERIAN
New Mexico Other 90382 PRESBYTERIAN
New Mexico Other NM009X52 PRESBYTERIAN
New Mexico Other QMYPR0070730 PRESBYTERIAN

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