Goodman, Tamara
Goodman, Tamara is an sole proprietor health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4495. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Goodman, Tamara can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109-4495
Phone: (505) 842-8171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD2006-0823 | New Mexico |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD2006-0823 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2006-0823 | New Mexico |
Profile Details
| NPI number | 1013056282 |
|---|---|
| LBN Legal business name | Goodman, Tamara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Sep 18th, 2019 - about 7 years ago |
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 | 1013056282 | NPPES |
| New Mexico | MEDICAID | 22705325 |
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