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NPI Code Detail

MEDICARE: DR. RYAN MICHAEL URICH M.D.

MEDICARE:  DR. RYAN MICHAEL URICH  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
1208M00000XHospitalist Physician13117885-1205UT
2207RI0200XInfectious Disease PhysicianMD2014-0925NM
3208M00000XHospitalist PhysicianMD2014-0925NM
4207R00000XInternal Medicine Physician13117885-1205UT
5207R00000XInternal Medicine PhysicianMD2014-0925NM

General Provider Information

NPI Number : 1548553209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN MICHAEL URICH M.D.
Provider Business Mailing Address
First Line : PO BOX 27935
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87125-7935
Country : US
Telephone Number : 505-727-8326
Fax Number :
Provider Business Practice Location Address
First Line : 601 DR MARTIN LUTHER KING JR AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3619
Country : US
Telephone Number : 505-727-8326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2011
Last Update Date : 03/02/2026

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Directions to “ DR. RYAN MICHAEL URICH M.D.” Practice Location

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