Individual
AMIR OBBEHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8005
(719) 589-8023
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8005
(719) 589-8023
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301095851
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
49865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89433785
—
CO
Enumeration date
08/06/2010
Last updated
12/17/2021
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