Organization
ALTAF AHMED MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAF AHMED MD (OWNER)
(505) 400-0133
Entity
Organization
Contact information
Practice address
4441 E LOHMAN AVE, LAS CRUCES, NM 88011-8267
(505) 400-0133
(575) 233-6323
Mailing address
PO BOX 15009, LAS CRUCES, NM 88004-5009
(505) 400-0133
(575) 233-6323
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14529041
—
NM
01
—
NM009E41
BC/BS OF NM
NM
Enumeration date
11/07/2005
Last updated
02/09/2016
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