Provider Demographics
NPI:1982001202
Name:KHOO & ASSOCIATES CARDIOLOGY & WELLNESS
Entity Type:Organization
Organization Name:KHOO & ASSOCIATES CARDIOLOGY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:KHOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-948-4480
Mailing Address - Street 1:11815 BACCARAT LN NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7600
Mailing Address - Country:US
Mailing Address - Phone:505-948-4480
Mailing Address - Fax:
Practice Address - Street 1:11815 BACCARAT LN NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-7600
Practice Address - Country:US
Practice Address - Phone:505-948-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty