Individual
LUTFULLAH BASKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC 10-5550, ALBUQUERQUE, NM 87131-0001
(505) 272-1443
(505) 272-5958
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC 10-5550, ALBUQUERQUE, NM 87131-0001
(505) 272-1443
(505) 272-5958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
69100
CT
208600000X
Surgery Physician
69100
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD2024-1038
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2024-0278
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2024-1038
UNRESTRICTED MEDICAL LICENSE
NM
Enumeration date
03/26/2019
Last updated
11/15/2024
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