Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALISA CLARK ILLESCAS, MD
Active Sole ProprietorDR. ALISA CLARK ILLESCAS, MD is a Internal Medicine healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1972131159 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1972131159
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2020 (6.3862752207961 yrs)
- Last Updated
- Jul 31, 2024
- License
-
MD2023-0490 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 CENTRAL AVE SEALBUQUERQUE, NM, 871064930Browse NM providers · Browse ZIP 87106
- Phone
- 5057246124
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES D LEONARD | M.D. | 1871597849 |
| REBECCA B BAIR | MD | 1841295029 |
| PATRICIA WILSON CARBAJO | MD | 1467457648 |
| LARA L GOSS | MD | 1316942501 |
| DAVID A GONZALES | MD | 1154326338 |
| MAHMOOD REZA ZAMANIAN | MD | 1386641876 |
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.