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Individual

ANA G HUAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 GEORGIA ST NE STE G-2, ALBUQUERQUE, NM 87110-1359
(505) 266-8200
(505) 256-7565
Mailing address
8100 WYOMING BLVD NE STE M4, PMB 293, ALBUQUERQUE, NM 87113-1963
(505) 266-8200
(505) 256-7565

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
90-213
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201055717
PRESBYTERIAN HEALTH PLAN
NM
01
NM009M96
BLUE CROSS BLUE SHIELD
NM
01
P00163555
RAILROAD MEDICARE
NM
01
PROVP13283
MOLINA HEALTH CARE
NM
05
Q7363
NM
Enumeration date
12/12/2006
Last updated
02/26/2019
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