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Individual

DR. SANJAY K KHOLWADWALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2050
(505) 727-2049
Mailing address
10806 PINO AVE NE, ALBUQUERQUE, NM 87122-3432
(505) 681-9131
(505) 821-3773

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
97-288
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66369
NM
Enumeration date
05/22/2006
Last updated
07/08/2007
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