Individual
KAYVAN A. ELLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
Mailing address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A80456
CA
207RI0011X
Interventional Cardiology Physician
NM2002-0028
NM
Other
Enumeration date
12/08/2006
Last updated
11/06/2018
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