Individual
DR. AJOY KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5906
(505) 462-6000
(505) 462-8472
Mailing address
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5906
(505) 462-6000
(505) 462-8472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-0336
NM
207Q00000X
Family Medicine Physician
Primary
MD2009-0603
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89806077
—
NM
01
—
NPI NUMBER
BCBS OF NM
NM
Enumeration date
02/06/2007
Last updated
03/31/2023
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