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NPI 1780605923 · live from the CMS NPI Registry

David Bennahum, MD

Family Medicine, Geriatric Medicine in Albuquerque, NM. National Provider Identifier 1780605923, active.

NPI record

NPI1780605923 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine, Geriatric Medicine 207QG0300X
Practice locationWestside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114
Practice phone505-272-1754
Mailing address4808 Mcmahon Blvd Nw, Msc10 5550, Albuquerque, NM 87114
EnumeratedJuly 22, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine, Geriatric Medicine primary207QG0300X70-13 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.