Individual
AZADEH FOTOUHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
Mailing address
10108 MASTERS DR NE, ALBUQUERQUE, NM 87111-5893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74388
AZ
207RG0100X
Gastroenterology Physician
Primary
MD2020-0814
NM
Other
Enumeration date
06/07/2014
Last updated
12/21/2020
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