Healthcare Provider Details

I. General information

NPI: 1114500253
Provider Name (Legal Business Name): MORVARID SADAT KAVOSH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD, NE, UNM HOSPITAL #5ACC
ALBUQUERQUE NM
87106
US

IV. Provider business mailing address

2211 LOMAS BLVD, NE, UNM HOSPITAL #5ACC
ALBUQUERQUE NM
87106
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-4661
  • Fax: 505-272-3624
Mailing address:
  • Phone: 505-272-4661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD2026-0187
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: