Individual
DR. RYAN LEE UNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ABUQEURQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A-2370-20
NM
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A-2370-20
NM
207RC0000X
Cardiovascular Disease Physician
A-2370-20
NM
207RC0000X
Cardiovascular Disease Physician
OS13085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58208241
—
NM
Enumeration date
05/01/2013
Last updated
04/18/2022
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