Individual
MR. VISHAL VASHISTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 265-1711
(213) 531-2493
Mailing address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 265-1711
(213) 531-2493
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD2020-0366
NM
Other
Enumeration date
04/10/2014
Last updated
06/24/2021
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