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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154565539 NPPES
New Mexico MEDICAID 24473111

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