Healthcare Provider Details

I. General information

NPI: 1477049823
Provider Name (Legal Business Name): CHRISTIAN NEHME MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE STE 28200
RIO RANCHO NM
87124-4741
US

IV. Provider business mailing address

5981 JEFFERSON ST NE STE A
ALBUQUERQUE NM
87109-3457
US

V. Phone/Fax

Practice location:
  • Phone: 505-370-9600
  • Fax: 505-355-0566
Mailing address:
  • Phone: 505-370-9600
  • Fax: 505-355-0566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD2024-0196
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: