Individual
AMIRKASRA MOJTAHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4352 ALTURA MESA LN NE, ALBUQUERQUE, NM 87110-5059
(505) 232-8061
Mailing address
4352 ALTURA MESA LN NE, ALBUQUERQUE, NM 87110-5059
(505) 232-8061
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RS2011-0298
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2011
Last updated
01/11/2016
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