Gasic, Andrei C
Gasic, Andrei C is an individual health care provider with primary practice located at 4701 Montgomery Blvd Ne , Albuquerque NM 87109-1219. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gasic, Andrei C can be contacted via phone (505) 727-7800.Contact Information
Primary practice address
4701 Montgomery Blvd Ne
Albuquerque NM 87109-1219
Phone: (505) 727-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 126887 | Montana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H2396 | Texas |
| Other Service Providers / Specialist | 174400000X | H2396 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD2021-0949 | New Mexico |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD219009 | Oregon |
Profile Details
| NPI number | 1184623407 |
|---|---|
| LBN Legal business name | Gasic, Andrei C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184623407 | NPPES |
| New Mexico | Other | MD2021-0949 | STATE LICENSE |
| New Mexico | Other | H2396 | STATE LICENSE |
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