Basic Information
| Provider Information | |||||||||
| NPI: | 1851749378 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRAHMBHATT | ||||||||
| FirstName: | SUMIR | ||||||||
| MiddleName: | MUKESH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT OF INTERNAL MEDICINE MSC 10-5550 | ||||||||
| Address2: | 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871315001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052724761 | ||||||||
| FaxNumber: | 5052723624 | ||||||||
| Practice Location | |||||||||
| Address1: | DEPARTMENT OF MEDICINE MSC 10-5550 | ||||||||
| Address2: | 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871315001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052724761 | ||||||||
| FaxNumber: | 5052723624 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2016 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 58787 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.