Individual provider · Type 1 NPI

Gautam Kishore Valecha, MBBS

Hematology & Oncology Physician · Albuquerque, NM

NPI number 1235579632 Active

Practice location

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Call (505) 559-6100 Map

Fax (505) 559-6101

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Hematology & Oncology Physician Primary 207RH0003XMD2020-0359 (NM)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1235579632

Gautam Kishore Valecha, MBBS's National Provider Identifier is 1235579632, issued on Jun 28, 2013. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 23, 2020.