DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR (NPI# 1033522685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033522685 |
| Entity Type | Individual |
| Full Name | DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR |
| Credential | M.D. |
| Practice Address |
2400 Unser Blvd Se Rio Rancho NM 87124 |
| Mailing Address |
2400 Unser Blvd Se Rio Rancho NM 87124-4740 |
| Practice Telephone | 5052531790 |
| Practice Fax Number | 5052531133 |
| Mailing Telephone | 5052531790 |
| Mailing Fax Number | 5052531133 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD2017-0194 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 Unser Blvd Se, Rio Rancho, NM 87124 | 5052531790 | 5052531133 |
| 6565 N Charles St Ste 203, Baltimore, MD 212045805 | 4438493760 | 4438498138 |
| Street Address |
2400 UNSER BLVD SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322762 | Imtiaz A Malik | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2005-11-11 |
| 1982252383 | Jessica Bartra | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2019-08-28 |
| 1376022822 | Hospitalist Medicine Physicians of New Mexico -tcg LLC | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-08-07 |
| 1144712837 | Eileen Shi | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-05-30 |
| 1194230714 | Nanette C Vela | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-12-05 |
| 1487179776 | Shirley Mae Crotwell | Psychologist | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-08-07 |
| 1528599727 | Priya Vallabh Shah | Pediatrics | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-21 |
| 1235670977 | Carly Nathan | Advanced Practice Midwife | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-14 |
| 1689119240 | Keri J Maracchini | Dietitian, Registered | 2400 Unser Blvd Se, Lower Level, Rio Rancho, NM 87124-4740 | 2017-01-05 |
| 1932653417 | Melissa T Torres | Nurse Practitioner | 2400 Unser Blvd Se, Physicians Office Bldg #08213, Rio Rancho, NM 87124-4740 | 2016-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609141076 | Christina M Haaland | Internal Medicine | 1009 Golf Course Rd Se Ste 109, Rio Rancho, NM 87124 | 2012-03-18 |
| 1700934833 | Stephen Anthony Vaughn | Internal Medicine | 1760 Grande Boulevard Se, Rio Rancho, NM 87124 | 2007-01-08 |
| 1548331499 | Eugene F. Sun | Internal Medicine | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2006-11-13 |
| 1598733859 | Naishadh Ajitrai Mankad | Internal Medicine | 184 Unser Blvd Ne, Rio Rancho, NM 87124 | 2006-03-10 |
| 1194717801 | Robert Anthony Gardner | Internal Medicine | 2410 19th St Se, Rio Rancho, NM 87124-4857 | 2005-08-18 |
| 1891342994 | Center for Vein Restoration Nm LLC | Internal Medicine | 1790 Grande Blvd Se, Rio Rancho, NM 87124-1756 | 2019-08-22 |
| 1376022822 | Hospitalist Medicine Physicians of New Mexico -tcg LLC | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-08-07 |
| 1144774712 | Ebubechukwu Njemanze | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2016-08-11 |
| 1629464862 | Mathew Theodore Ley | Internal Medicine | 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 | 2015-04-14 |
| 1710384581 | Manideep Gotur | Internal Medicine | 4005 High Resort Blvd Se, Rio Rancho, NM 87124-5906 | 2014-11-21 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on DR. AZHARUDDIN MOHAMMED AKBAR SOUDAGAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.