Individual
MRIDULA RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102
(505) 841-1000
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
054061
CT
207RC0000X
Cardiovascular Disease Physician
Primary
MD2016-0323
NM
Other
Enumeration date
05/15/2010
Last updated
03/19/2019
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