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NPI Code Detail

MEDICARE: XENON HEALTH OF NEW MEXICO LLC

MEDICARE: XENON HEALTH OF NEW MEXICO LLC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1750674859
Entity Type Code : Organization
Provider Name (Legal Business Name) : XENON HEALTH OF NEW MEXICO LLC
Provider Business Mailing Address
First Line : 111 TOWN SQUARE PL STE 420
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1724
Country : US
Telephone Number : 917-397-1229
Fax Number : 201-604-6561
Provider Business Practice Location Address
First Line : 6300 RIVERSIDE PLAZA LN NW STE 100
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1908
Country : US
Telephone Number : 917-397-1229
Fax Number : 201-604-6561
Authorized Official
Title or Position : PRESIDENT
Name : DR. HAROON CHAUDHRY
Credential : MD
Telephone Number : 917-621-6854
Provider Enumeration Date : 05/23/2011
Last Update Date : 05/12/2023

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Directions to “XENON HEALTH OF NEW MEXICO LLC ” Practice Location

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