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NPI Code Detail

MEDICARE: MRS. SAMIRA SOLTANI PA-C

MEDICARE: MRS. SAMIRA SOLTANI PA-C
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
1363A00000XPhysician AssistantPA2008-0024NM

General Provider Information

NPI Number : 1477717635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMIRA SOLTANI PA-C
Provider Business Mailing Address
First Line : 7920 CARMEL AVE NE STE 1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-3056
Country : US
Telephone Number : 505-262-7000
Fax Number : 505-828-4989
Provider Business Practice Location Address
First Line : 11601 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2660
Country : US
Telephone Number : 505-207-3421
Fax Number : 505-702-8171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 06/17/2026

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Directions to “ MRS. SAMIRA SOLTANI PA-C” Practice Location

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