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Individual

MOHAMMAD I. AL-RAIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
8200 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-2408
(505) 272-5885
(505) 272-5888
Mailing address
711 ENCINO PL NE STE D, ALBUQUERQUE, NM 87102-2650
(505) 224-7400
(505) 224-7404

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2011-0027
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27782093
NM
Enumeration date
11/17/2011
Last updated
06/24/2020
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