Individual
DR. UZODINMA RAPHAEL DIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 GEORGE DIETER DRIVE, EL PASO, TX 79936-3915
(915) 248-2434
(915) 248-2443
Mailing address
2200 GEORGE DIETER DRIVE, EL PASO, TX 79936-3915
(915) 248-2434
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
230246
NY
207RC0000X
Cardiovascular Disease Physician
P0720
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
230246
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
P0720
TX
207RI0011X
Interventional Cardiology Physician
230246
NY
207RI0011X
Interventional Cardiology Physician
Primary
P0720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286895201
—
TX
Enumeration date
04/28/2008
Last updated
03/24/2016
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