Al Saleh, Mazin Abdullah
Al Saleh, Mazin Abdullah is an individual health care provider with primary practice located at 2000 W 21St St Ste A1 , Clovis NM 88101-4092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Al Saleh, Mazin Abdullah can be contacted via phone (575) 762-8055.Contact Information
Primary practice address
2000 W 21St St Ste A1
Clovis NM 88101-4092
Phone: (575) 762-8055
Fax: (575) 763-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD20040077 | New Mexico |
Profile Details
| NPI number | 1619968690 |
|---|---|
| LBN Legal business name | Al Saleh, Mazin Abdullah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619968690 | NPPES |
| New Mexico | MEDICAID | 79636381 |
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