Individual
AMIR HOUSHANG MANOUTCHEHRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12125 STATE HIGHWAY 14 N, CEDAR CREST, NM 87008-9461
(505) 407-2174
(505) 407-2174
Mailing address
12125 STATE HIGHWAY 14 N, CEDAR CREST, NM 87008-9461
(505) 407-2174
(505) 407-2174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
87108
NM
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
05/12/2015
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