Khoshyomn, Mani

Khoshyomn, Mani is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Khoshyomn, Mani can be contacted via phone (505) 841-1234.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Fax: (505) 841-1956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD2004-0591 New Mexico

Profile Details

NPI number 1477557460
LBN Legal business name Khoshyomn, Mani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477557460 NPPES
Arizona MEDICAID 879702
Arizona MEDICAID 88615
Arizona Other NM009S99
Arizona MEDICAID 66585376
Arizona Other 376101

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