Organization
NEW MEXICO FACIAL PLASTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN TAGHIZADEH MD (PRESIDENT)
(505) 888-3223
Entity
Organization
Contact information
Practice address
6200 UPTWON BLVD, SUITE 419, ALBUQUERQUE, NM 87110-4159
(505) 888-3223
(505) 888-3224
Mailing address
6200 UPTOWN BLVD NE, SUITE 419, ALBUQUERQUE, NM 87110-4159
(505) 888-3223
(505) 888-3224
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
MD20050527
NM
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD20050527
NM
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD20050527
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207YX0905X
—
NM
Enumeration date
03/13/2007
Last updated
11/10/2008
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