Komadina, Steven Anthony
Komadina, Steven Anthony is an sole proprietor health care provider with primary practice located at 4801 Mcmahon Blvd Nw #101, Albuquerque NM 87114-5090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Komadina, Steven Anthony can be contacted via phone (505) 893-2840.Contact Information
Primary practice address
4801 Mcmahon Blvd Nw #101
Albuquerque NM 87114-5090
Phone: (505) 893-2840
Fax: (505) 893-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 71-165 | New Mexico |
Profile Details
| NPI number | 1891794038 |
|---|---|
| LBN Legal business name | Komadina, Steven Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Dec 15th, 2010 - about 16 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 | 1891794038 | NPPES |
| New Mexico | MEDICAID | 03244 |
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