Individual
BENJAMIN AMIRE-BRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
130 MIMOSA PL APT C, LAFAYETTE, LA 70506-6166
(337) 356-9385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2020-0342
NM
207R00000X
Internal Medicine Physician
R76077
AZ
Other
Enumeration date
04/21/2017
Last updated
01/22/2024
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