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Individual

DR. MOHAMED BASEL ASWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 S 8TH ST, SUITE B, DEMING, NM 88030
(575) 546-3750
(575) 546-2770
Mailing address
1020 S 8TH ST, SUITE B, DEMING, NM 88030
(575) 546-3750
(575) 546-2770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20030043
NM
207RH0003X
Hematology & Oncology Physician
Primary
20030043
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396073359
GROUP NPI
NM
01
1871571406
NPI
05
37323351
NM
Enumeration date
01/04/2006
Last updated
03/26/2010
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