Individual
DR. GHASEM IMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
Mailing address
MSC 11 6093 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD2021-0880
NM
Other
Enumeration date
03/27/2017
Last updated
03/07/2024
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