Individual
ALEXAN ISAHAG YEREVANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 WALTER ST NE STE 401, ALBUQUERQUE, NM 87102-2563
(505) 727-7833
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
A143798
CA
2084N0400X
Neurology Physician
143798
CA
2084N0400X
Neurology Physician
Primary
MD2024-1097
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2024-1097
STATE LICENSE
NM
Enumeration date
07/14/2015
Last updated
05/21/2025
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