Omidnia, Baya

Omidnia, Baya is an individual health care provider with primary practice located at 402 W Country Club Rd , Roswell NM 88201-5247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Omidnia, Baya can be contacted via phone (575) 627-9500.

Contact Information

Primary practice address
402 W Country Club Rd Roswell NM 88201-5247
Phone: (575) 627-9500
Fax: (575) 627-4127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2009-0514 New Mexico

Profile Details

NPI number 1801037254
LBN Legal business name Omidnia, Baya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Dec 17th, 2021 - about 4 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 1801037254 NPPES
New Mexico Other 1932187044 MEDICARE GROUP NPI
New Mexico MEDICAID 41284399 MEDICARE GROUP NPI
New Mexico Other 800521089 MEDICARE GROUP NPI
New Mexico Other Z2565 MEDICARE GROUP NPI

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