Healthcare Provider Details

I. General information

NPI: 1184010043
Provider Name (Legal Business Name): VANESSA JANEL MAHALIA AL RASHIDA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANESSA SMITH M.D.

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 90802
ALBUQUERQUE NM
87199-0802
US

IV. Provider business mailing address

PO BOX 90802
ALBUQUERQUE NM
87199-0802
US

V. Phone/Fax

Practice location:
  • Phone: 505-639-5737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License NumberMD2017-0846
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2017-0846
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: