Search › New Mexico › 207RG0300X
Alexander Deradke, DO
NPI 1851851950 · on the registry since 2019 · sole proprietor
Practice
- Address
- Msc 10-5550 University Of New Mexico
Albuquerque, NM 87131 - Phone
- (505) 272-4661
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RG0300X
207RG0300X
- Also registered as
- 207R00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico