Individual
DR. VALERIA PETKOVA ILIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 265-2803
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 265-2803
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD2016-0779
NM
207RI0200X
Infectious Disease Physician
MD60846867
WA
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0474
NM
Other
Enumeration date
01/18/2013
Last updated
11/10/2021
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