| Aref Kabbara Mdpc | |
|
810 W Apache St Farmington NM 87401-5501 | |
| (505) 327-7738 | |
| Not Available |
| Full Name | Aref Kabbara Mdpc |
|---|---|
| Speciality | Family Medicine |
| Location | 810 W Apache St, Farmington, New Mexico |
| Authorized Official Name and Position | Aref Kabbara (OWNER) |
| Authorized Official Contact | 5053277738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aref Kabbara Mdpc 810 W Apache St Farmington NM 87401-5501 Ph: (505) 327-7738 | Aref Kabbara Mdpc 810 W Apache St Farmington NM 87401-5501 Ph: (505) 327-7738 |
| NPI Number | 1831387216 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 3779488317 |
|---|---|
| Medicare Enrollment ID | O20031205000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831387216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 81238 (New Mexico) | Primary |
| Provider Name | Aref Kabbara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821188939 PECOS PAC ID: 2668377201 Enrollment ID: I20031205000315 |
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