Individual
DR. MASOUD SHIEHMORTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD2016-0422
NM
2085R0202X
Diagnostic Radiology Physician
ME166793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86406361
—
NM
Enumeration date
11/18/2010
Last updated
12/03/2025
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