Individual
SYED RAFIQUE AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 W PICACHO AVE STE D, LAS CRUCES, NM 88007-4721
(575) 556-6470
(575) 522-0375
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2018-0618
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07122535
—
NM
Enumeration date
07/19/2015
Last updated
08/11/2019
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