Anaya, Theresa M.

Anaya, Theresa M. is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne Msc10 5590, Albuquerque NM 87106-2745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anaya, Theresa M. can be contacted via phone (505) 272-2024.

Contact Information

Primary practice address
2211 Lomas Blvd Ne Msc10 5590 Albuquerque NM 87106-2745
Fax: (505) 272-2374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 93-192 New Mexico

Profile Details

NPI number 1508950791
LBN Legal business name Anaya, Theresa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 24th, 2023 - about last year

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 1508950791 NPPES
Utah MEDICAID 1-Z7176
Utah MEDICAID 06206
Utah MEDICAID 162735
Utah MEDICAID 0015964330001
Utah MEDICAID 0958074
Utah MEDICAID 1682900
Utah MEDICAID 203955
Utah MEDICAID 6700322
Utah MEDICAID 91931923
Utah MEDICAID XPY184605
Utah MEDICAID 054653302
Utah MEDICAID 208513101

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