Individual provider · NPI-1

Jaleh M Akhavan, MD

Family Medicine · Albuquerque, NM

NPI number1043743008
StatusActive
Last updated in NPPESNov 14, 2020

Details

NPI
1043743008
Entity type
Individual (NPI-1)
Name
Jaleh M Akhavan
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2017
Certification date
Nov 14, 2020
Last updated
Nov 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD2020-0122NMYes

Practice location

Unmh
2211 Lomas Blvd Ne
Albuquerque, NM 87106

Phone 505-272-8045

Mailing address

933 Bradbury Dr Se Ste 2222
Albuquerque, NM 87106-4375

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