Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH DAVID JOHNSON
ActiveRadiation Oncology · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1821594136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2018 (8.0469057084707 yrs)
- Last Updated
- Jun 11, 2024
- Licenses
-
53837 (KY)MD2023-1654 (NM)
Practice Information
- Address
-
4901 LANG AVE NEALBUQUERQUE, NM, 871094397Browse NM providers · Browse ZIP 87109
- Phone
- 5058428171
- Fax
- 5052460684
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- Radiation Oncology
Other Radiation Oncology Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. MIRKUTUB M. KHAN | M.D. | 1588668941 |
| DR. PAUL A ANTHONY | MD | 1952306219 |
| WILLIAM THOMPSON | — | 1134124407 |
| DR. AMANDA J STORY | M.D. | 1346245594 |
| BENNY LIEM | — | 1578568309 |
| RAMESH GOPAL | MD | 1306831862 |
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.