Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL HEIDENREICH
ActiveGeriatric Psychiatry · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1295709913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2006 (20.174282887901 yrs)
- Last Updated
- Mar 22, 2017
- License
-
MD2008-0162 (NM)
Practice Information
- Address
-
933 BRADBURY DR SESUITE 2222ALBUQUERQUE, NM, 871064374Browse NM providers · Browse ZIP 87106
- Phone
- 5052723120
- Fax
- 5052728060
- Primary Specialty
-
Geriatric Psychiatry
207SG0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.