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Individual

KHADIJA AHMAD MAMSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2420 W PIERCE ST, SUITE 205, CARLSBAD, NM 88220-3543
(575) 234-9692
(575) 887-5237
Mailing address
2420 W PIERCE ST STE 205, CARLSBAD, NM 88220-3518
(575) 234-9692

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2013-0171
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12080845
NM
Enumeration date
02/02/2012
Last updated
08/27/2020
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