Noorhasan, Marisela Marisa
Noorhasan, Marisela Marisa is an individual health care provider with primary practice located at 8300 Constitution Avene , Albuquerque NM 87110-7613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Noorhasan, Marisela Marisa can be contacted via phone (505) 559-6400.Contact Information
Primary practice address
8300 Constitution Avene
Albuquerque NM 87110-7613
Phone: (505) 559-6400
Fax: (505) 559-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2014-0776 | New Mexico |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD2014-0776 | New Mexico |
Profile Details
| NPI number | 1174593206 |
|---|---|
| LBN Legal business name | Noorhasan, Marisela Marisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 25th, 2016 - about 10 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 | 1174593206 | NPPES |
| New Mexico | MEDICAID | 21675252 |
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