Raiten, Joshu Alan
Raiten, Joshu Alan is an individual health care provider with primary practice located at 500 Walter St Ne , Albuquerque NM 87102-2534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Raiten, Joshu Alan can be contacted via phone (505) 727-7177.Contact Information
Primary practice address
500 Walter St Ne
Albuquerque NM 87102-2534
Phone: (505) 727-7177
Fax: (505) 727-3778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD20140514 | New Mexico |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD20140514 | New Mexico |
Profile Details
| NPI number | 1154565539 |
|---|---|
| LBN Legal business name | Raiten, Joshu Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Jul 8th, 2020 - about 6 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 | 1154565539 | NPPES |
| New Mexico | MEDICAID | 24473111 |
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