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Individual

DR. AMYN G ALIDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109
(505) 822-3948
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD2004-0726
NM
207RX0202X
Medical Oncology Physician
Primary
2004-0726
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34029036
NM
Enumeration date
10/27/2005
Last updated
09/07/2018
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