Individual provider · NPI-1

Benjamin Amire-Brahimi, MD

Internal Medicine · Farmington, NM

NPI number1770018384
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1770018384
Entity type
Individual (NPI-1)
Name
Benjamin Amire-Brahimi
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2017
Certification date
Jan 22, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD2020-0342NMYes
207R00000X Internal MedicineR76077AZ

Practice location

801 W Maple St
Farmington, NM 87401-5630

Phone 505-609-2000

Mailing address

130 Mimosa Pl Apt C
Lafayette, LA 70506-6166

Phone 337-356-9385

Other practice locations

130 Mimosa Pl Apt C
Lafayette, LA 70506-6166

Phone 337-356-9385

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