Individual
SRISHTI SINGH VISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2023-1134
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2019
Last updated
08/25/2023
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