DR. RAZAN HANI ALKHOURI (NPI# 1356584486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356584486 |
| Entity Type | Individual |
| Full Name | DR. RAZAN HANI ALKHOURI |
| Credential | M.D. |
| Practice Address |
201 Cedar St Se Ste 4660 Albuquerque NM 87106-4924 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5055636530 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD2016-0320 | NM | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
267765 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
201 CEDAR ST SE STE 4660 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299888 | Indravadan Vyas | Pediatrics | 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | 2005-10-13 |
| 1336648609 | Hayley D Escandon | Dietitian, Registered | 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | 2018-02-01 |
| 1093929143 | Stephanie B. Gehres | Internal Medicine | 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | 2007-05-09 |
| 1265476550 | Linda A Nicolette | Surgery | 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366458952 | Edward Rose | Pediatrics | 1127 University Blvd Se, Albuquerque, NM 87102 | 2006-08-01 |
| 1740201987 | Analissa Watkins Drummond | Pediatrics | 2211 Lomas Blvd Ne Fl 3, Albuquerque, NM 87106-2745 | 2006-07-22 |
| 1891224903 | Pankaj Vohra | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2017-06-12 |
| 1447355359 | Jacqueline L Fridge | Pediatrics | Msc 10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-09-14 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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| 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.