Al-Raie, Mohammad I.

Al-Raie, Mohammad I. is an individual health care provider with primary practice located at 8200 Central Ave Se , Albuquerque NM 87108-2408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Al-Raie, Mohammad I. can be contacted via phone (505) 272-5885.

Contact Information

Primary practice address
8200 Central Ave Se Albuquerque NM 87108-2408
Phone: (505) 272-5885
Fax: (505) 272-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2011-0027 New Mexico

Profile Details

NPI number 1629345848
LBN Legal business name Al-Raie, Mohammad I.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2011
Last updated Jun 24th, 2020 - about 5 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 1629345848 NPPES
New Mexico MEDICAID 27782093

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