Individual
KARAM BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Mailing address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-0348
NM
207R00000X
Internal Medicine Physician
Primary
MD2011-0813
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59326751
—
NM
Enumeration date
02/06/2007
Last updated
12/11/2019
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