MEDICARE: DR. ELCHIN FARMAN ZEYNALOV M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	24760	NV
2	207R00000X	Internal Medicine Physician	MD2013-099	NM
3	207R00000X	Internal Medicine Physician	MD2013-0099	NM
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD2013-0099	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	344240	OTHER		BOARD CERTIFICATION
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437499365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELCHIN FARMAN ZEYNALOV M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PHS PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-462-6000
Fax Number	:	505-462-8476

Provider Business Practice Location Address
First Line	:	4005 HIGH RESORT BLVD SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-5906
Country	:	US
Telephone Number	:	505-462-6000
Fax Number	:	505-462-8476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	02/16/2026

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