Individual
SIMRAN KENTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3303
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD2024-0849
NM
207RP1001X
Pulmonary Disease Physician
MD210001316
DC
Other
Enumeration date
07/31/2018
Last updated
10/11/2024
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