MEDICARE: DR. NITIN BUDHWAR 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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD2020-0302	NM
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	M6548	TX
3	207Q00000X	Family Medicine Physician	M6548	TX

General Provider Information

NPI Number	:	1144243890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NITIN BUDHWAR MD

Provider Business Mailing Address
First Line	:	800 BRADBURY DR SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4310
Country	:	US
Telephone Number	:	505-272-1476
Fax Number	:

Provider Business Practice Location Address
First Line	:	5920 FOREST PARK RD STE 601
Second Line	:	UT SOUTHWESTERN/PARKLAND FAMILY MEDICINE CLINIC
City	:	DALLAS
State	:	TX
Zip	:	75235-6411
Country	:	US
Telephone Number	:	214-266-0312
Fax Number	:	214-266-0330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/22/2025

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