Individual
MR. SHAFAGH BANIHASHEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
700 HIGH ST NE, ALBUQUERQUE, NM 87102-2565
(505) 242-4444
Mailing address
6000 PAPER FLOWER PL NE, ALBUQUERQUE, NM 87111-8219
(505) 263-8964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72300
NM
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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