Goodman, Tamara

Goodman, Tamara is an sole proprietor health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4495. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goodman, Tamara can be contacted via phone (505) 842-8171.

Contact Information

Primary practice address
4901 Lang Ave Ne Albuquerque NM 87109-4495
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD2006-0823 New Mexico
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD2006-0823 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2006-0823 New Mexico

Profile Details

NPI number 1013056282
LBN Legal business name Goodman, Tamara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Sep 18th, 2019 - about 6 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 1013056282 NPPES
New Mexico MEDICAID 22705325

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