Individual
MOHAMED ABDELBAKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4934
(505) 841-1234
Mailing address
PHS ENROLLMENT, PO BOX 26666, ALBUQUERUQE, NM 87125-6666
(732) 745-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2023-1101
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/18/2020
Last updated
08/05/2023
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