Individual
MR. IBUKI SUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8650 ALAMEDA BLVD, SUITE 101E, ALBUQUERQUE, NM 87122
(505) 255-1866
(505) 255-1852
Mailing address
8650 ALAMEDA BLVD, SUITE 101E, ALBUQUERQUE, NM 87122
(505) 255-1866
(505) 255-1852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2001-315
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F2515
—
NM
Enumeration date
08/30/2006
Last updated
06/24/2014
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