Doctor Name: | DR. SEDDAH MOYA |
NPI Number: | 1023269651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN8778 |
Business Practice Address: | 4640 Jefferson Ln Ne Albuquerque, NM - 871092116 |
Business Phone Number: | 5058436168 |
Business Fax Number: | 5053383456 |
Mailing Address: | 201 Cedar St Se, Ste. 5640 ALBUQUERQUE |
State: | NM |
Postal Code: | 871064917 |
Phone Number: | 5058436168 |
Fax Number: | 5052479743 |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN8778 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |