Individual
MANISH DHAR BAJRACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-5551
(505) 272-6845
Mailing address
933 BRADBURY SE, SUITE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
04-36018
KS
2080P0203X
Pediatric Critical Care Medicine Physician
MD2017-0611
NM
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD215007
OR
Other
Enumeration date
07/08/2008
Last updated
05/08/2023
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