Individual
FATMA MIDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 WYOMING BLVD NE STE J, PMB 137, ALBUQUERQUE, NM 87109-3873
(505) 507-4770
(575) 443-7636
Mailing address
5901 WYOMING BLVD NE STE J, PMB 137, ALBUQUERQUE, NM 87109-3873
(505) 507-4770
(575) 443-7636
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
20040537
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30532281
—
NM
Enumeration date
07/11/2006
Last updated
09/30/2013
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