Individual
RAWAN MAALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505
(505) 913-6130
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0817
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0378
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
MISCELLANEOUS
—
Enumeration date
04/06/2015
Last updated
06/18/2018
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