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Individual

DR. MOONA AZEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1523 EAGLE RIDGE RD NE, ALBUQUERQUE, NM 87122-1156
(860) 995-5876
Mailing address
1523 EAGLE RIDGE RD NE, ALBUQUERQUE, NM 87122-1156
(860) 995-5876

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02037
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01090738A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DR.0071959
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD60719047
WA
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
07/15/2010
Last updated
09/26/2023
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