Most Relevant Information
Provider Data
| NPI Number: | 1003250069 |
| Provider Name: | NIZHONI W DENIPAH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2013 |
| Last Updated: | 11/13/2018 |
Provider Practice Location
1 UNIVERSITY OF NM
MSC10 5610
ALBUQUERQUE
NM
871310001
Practice Location Phone/Fax
| Phone: | 5052722336 |
| Fax: | 5059254310 |
Provider Mailing Location
933 BRADBURY DR SE
SUITE 2222
ALBUQUERQUE
NM
871064374
Provider Mailing Phone/Fax
| Phone: | 5052723120 |
| Fax: | 5052728060 |