Individual
DR. PATRICIA A PADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2017-0072
NM
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101032883
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD2017-0072
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43278248
—
NM
Enumeration date
06/06/2007
Last updated
06/20/2023
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