Provider Demographics
NPI:1902945900
Name:RANKIN, MICHAEL WELCH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WELCH
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:201 CEDAR ST SE
Mailing Address - Street 2:STE 508
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4917
Mailing Address - Country:US
Mailing Address - Phone:505-563-6392
Mailing Address - Fax:505-563-6390
Practice Address - Street 1:1100 CENTRAL AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4930
Practice Address - Country:US
Practice Address - Phone:505-841-1090
Practice Address - Fax:505-563-6390
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM2004-421208000000X
NMMD2007-0088208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics