Individual
DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124
(505) 253-1790
(505) 253-1133
Mailing address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-4740
(505) 253-1790
(505) 253-1133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2017-0194
NM
Other
Enumeration date
06/10/2014
Last updated
08/19/2019
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