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Organization

ALTEA MEDICAL NEW MEXICO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODHVIR SINGH SARAI (CEO)
(347) 432-1603
Entity
Organization

Contact information

Practice address
2216 LESTER DR NE, ALBUQUERQUE, NM 87112-2607
(505) 296-4808
Mailing address
2219 RIMLAND DR STE 301, BELLINGHAM, WA 98226-8759

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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