Individual
MUDASSIR MUBEEN SALEEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1302 E MAIN ST, TUCUMCARI, NM 88401-2508
(505) 461-2200
(505) 461-2213
Mailing address
2109 S 8TH ST, TUCUMCARI, NM 88401-3752
(505) 461-7818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0500
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10005148
LOVELACE,NM
NM
01
—
201041750
PRESBYTERIAN HEALTH PLAN
NM
01
—
2301264
UNITED HEALTHCARE
NM
05
—
39972364
—
NM
01
—
740
MOLINA,NM
NM
01
—
NM009J24
BLUE CROSS BLUE SHIELD,NM
NM
Enumeration date
07/14/2006
Last updated
07/08/2007
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