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NPI Code Detail

MEDICARE: DAVID GUSTAVO PARAJON MD

MEDICARE: DAVID GUSTAVO PARAJON MD
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
1207R00000XInternal Medicine Physician96-341NM

General Provider Information

NPI Number : 1699380824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GUSTAVO PARAJON MD
Provider Business Mailing Address
First Line : 4200 CHINLEE AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-5712
Country : US
Telephone Number : 505-234-3331
Fax Number :
Provider Business Practice Location Address
First Line : 1235 8TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4219
Country : US
Telephone Number : 505-425-6788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 12/12/2025

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Directions to “ DAVID GUSTAVO PARAJON MD” Practice Location

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