Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Summit LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1982420329

Grand Summit LLC is an Addiction Medicine (Internal Medicine) Physician in Albuquerque, New Mexico. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13207 Central Ave NE
Albuquerque, NM 87123-3033
Phone: (505) 595-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X

Record details

NPI number1982420329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bakhtar Ehsan — Cfo · (831) 325-3541
NPI enumeratedDecember 2, 2024
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address9909 Robin Ave Ne, Albuquerque, NM 87112-4061

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