Individual
JAWAIRIA MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4753
(505) 272-6839
Mailing address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4753
(505) 272-6839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0054080
CO
207RG0100X
Gastroenterology Physician
26236
MS
207RG0100X
Gastroenterology Physician
Primary
MD2024-0330
NM
207RG0100X
Gastroenterology Physician
RS2019-0425
NM
208M00000X
Hospitalist Physician
DR.0054080
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02989344
—
CO
Enumeration date
09/28/2011
Last updated
08/26/2024
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