Individual
DR. JOSHU ALAN RAITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 WALTER ST NE, ALBUQUERQUE, NM 87102-2534
(505) 727-7177
(505) 727-3778
Mailing address
4824 MCMAHON BLVD NW STE 109, ALBUQUERQUE, NM 87114-5412
(505) 588-7246
(505) 551-1286
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD20140514
NM
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD20140514
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24473111
—
NM
Enumeration date
04/29/2009
Last updated
07/08/2020
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