Provider Demographics
NPI:1366672826
Name:ALKOUZ, MUNIF HUSSEIN (MD)
Entity Type:Individual
Prefix:
First Name:MUNIF
Middle Name:HUSSEIN
Last Name:ALKOUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6310
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88006-6310
Mailing Address - Country:US
Mailing Address - Phone:575-522-6806
Mailing Address - Fax:575-521-8033
Practice Address - Street 1:2530 S TELSHOR BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4951
Practice Address - Country:US
Practice Address - Phone:575-522-6806
Practice Address - Fax:575-521-8033
Is Sole Proprietor?:No
Enumeration Date:2009-07-19
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0255207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM41275772Medicaid
NM449490YPD8Medicare PIN