Organization
INFECTIOUS DISEASES AND INTERNAL MEDICINE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIVA BACK (PRACTICE MANAGER)
(505) 848-3730
Entity
Organization
Contact information
Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 848-3730
(505) 848-3732
Mailing address
5901 HARPER DR NE BLDG 1, ALBUQUERQUE, NM 87109-3569
(505) 848-3730
(505) 848-3732
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
FA0003189
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG7958
RR MEDICARE #
NM
05
—
K4066
—
NM
Enumeration date
11/28/2006
Last updated
04/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us