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
Fax: (505) 893-2844
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 1891794038 NPPES
New Mexico MEDICAID 03244

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