Basic Information
Provider Information
NPI: 1821346727
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IHM
FirstName: CLAUDIA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNM HSC
Address2: DEPARTMENT OF INTERNAL MEDICINE
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1550 S POTOMAC ST STE 270
Address2:  
City: AURORA
State: CO
PostalCode: 800125456
CountryCode: US
TelephoneNumber: 5052724865
FaxNumber: 5052724628
Other Information
ProviderEnumerationDate: 08/27/2012
LastUpdateDate: 11/14/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000XRS2012-0663NMN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RI0200XDR.0060940COY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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