Konrad, Patricia Noveck

Konrad, Patricia Noveck is an individual health care provider with primary practice located at 1316 Blumenschein Rd , Taos NM 87571-6378. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Konrad, Patricia Noveck can be contacted via phone (505) 758-7876.

Contact Information

Primary practice address
1316 Blumenschein Rd Taos NM 87571-6378
Phone: (505) 758-7876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 20020061 New Mexico
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A22569 California

Profile Details

NPI number 1013901495
LBN Legal business name Konrad, Patricia Noveck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 18 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 1013901495 NPPES
New Mexico MEDICAID 891059U

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