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NPI Code Detail

MEDICARE: MAHLON R. SOLOWAY M.D.

MEDICARE: MAHLON R. SOLOWAY M.D.
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
1207W00000XOphthalmology Physician84-264NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NM001819OTHERNMBC BS OF NM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407841927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHLON R. SOLOWAY M.D.
Provider Business Mailing Address
First Line : 8801 HORIZON BLVD NE
Second Line : SUITE 360
City : ALBUQUERQUE
State : NM
Zip : 87113-1533
Country : US
Telephone Number : 505-828-4923
Fax Number : 505-213-0103
Provider Business Practice Location Address
First Line : 2947 RODEO PARK DR E
Second Line :
City : SANTA FE
State : NM
Zip : 87505-6303
Country : US
Telephone Number : 505-983-6613
Fax Number : 505-983-0684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 04/20/2008

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Directions to “ MAHLON R. SOLOWAY M.D.” Practice Location

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