Radovich, Catherine Marie
Radovich, Catherine Marie is an individual health care provider with primary practice located at 516 Nizhoni Blvd Gallup Indian Medical Center, Gallup NM 87301-4555. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Radovich, Catherine Marie can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 Nizhoni Blvd Gallup Indian Medical Center
Gallup NM 87301-4555
Phone: (505) 722-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 91287 | New Mexico |
Profile Details
| NPI number | 1699743328 |
|---|---|
| LBN Legal business name | Radovich, Catherine Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699743328 | NPPES |
| Arizona | MEDICAID | 414904 | |
| Arizona | MEDICAID | S0796 |
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