Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | MD2016-0691 | NM |
NPI | 1356583363 |
---|---|
Provider Name | Dr. Ioannis Kalampokis |
First Address | Albuquerque, NM 87106-4374 |
Second Address | Albuquerque, NM 87106-2719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 25/10/2016 |