Basic Information
Provider Information
NPI: 1386622710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAMBE
FirstName: JOSEPH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 UNIVERSITY OF NEW MEXICO
Address2: MSC 10-5610
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052728965
FaxNumber: 5052724156
Practice Location
Address1: 1 UNIVERSITY OF NEW MEXICO
Address2: MSC 10-5610
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052728965
FaxNumber: 5052724156
Other Information
ProviderEnumerationDate: 01/05/2006
LastUpdateDate: 01/06/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102XMD2011-0863NMY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127XMD2011-0863NMN Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
208600000XMD2011-0863NMN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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