Individual
SUSHMA M DHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BUILDING 2, ALBUQUERQUE, NM 87102-2706
(505) 272-6110
(505) 272-6112
Mailing address
2474 INDIAN WELLS RD, SUITE 2222, ALAMOGORDO, NM 88310-3845
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD2010-0613
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD2010-0613
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266380A
—
KS
01
—
207RS0012X
SLEEP MEDICINE TAXONOMY
KS
Enumeration date
01/13/2006
Last updated
03/02/2017
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