Bagheri, Nooshin

Bagheri, Nooshin is an individual health care provider with primary practice located at 8208 Louisiana Blvd Ne Ste C, Albuquerque NM 87113-1757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bagheri, Nooshin can be contacted via phone (505) 858-1222.

Contact Information

Primary practice address
8208 Louisiana Blvd Ne Ste C Albuquerque NM 87113-1757
Fax: (505) 858-1224
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2009-0547 New Mexico

Profile Details

NPI number 1083753081
LBN Legal business name Bagheri, Nooshin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 16th, 2017 - about 8 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 1083753081 NPPES
New Mexico MEDICAID 70639353
New Mexico Other 1932187044

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