Individual
PUSHPA AVASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4701 MONTGOMERY NE, LABORATORY 1ST FLOOR STE 201, ALBUQUERQUE, NM 87111
(505) 727-6830
(505) 727-7728
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
735
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13250
—
NM
Enumeration date
07/25/2006
Last updated
07/08/2007
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