MEDICARE: ADHERENCE TELEHEALTH 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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1346104205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADHERENCE TELEHEALTH LLC

Provider Business Mailing Address
First Line	:	5203 JUAN TABO BLVD NE STE 2A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 JUAN TABO BLVD NE STE 2A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2691
Country	:	US
Telephone Number	:	972-800-3033
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SANDRINE NDETAH
Credential	:	NP
Telephone Number	:	972-800-3033

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ADHERENCE TELEHEALTH LLC ” Practice Location

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