Individual
DR. TASNEEM TINA MAMDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6001 WINTER HAVEN NW, SUITE K, ALBUQUERQUE, NM 87120-1745
(505) 232-2020
(505) 212-0319
Mailing address
6001 WINTER HAVEN NW, SUITE K, ALBUQUERQUE, NM 87120-1745
(505) 232-2020
(505) 212-0319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L8443
—
NM
Enumeration date
02/08/2006
Last updated
02/21/2025
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