Raisher, Bradley D

Raisher, Bradley D is an individual health care provider with primary practice located at 201 Cedar Suite 700, Albuquerque NM 87106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Raisher, Bradley D can be contacted via phone (505) 848-3700.

Contact Information

Primary practice address
201 Cedar Suite 700 Albuquerque NM 87106
Phone: (505) 848-3700
Fax: (505) 848-3703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 96345 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X M11905 Idaho

Profile Details

NPI number 1912965237
LBN Legal business name Raisher, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 6th, 2014 - about 10 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 1912965237 NPPES
New Mexico MEDICAID L0722

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