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

Edgar R Cordivin, MD

Individual provider Diagnostic Radiology Physician · NPI 1992760250

Edgar R Cordivin, MD is a Diagnostic Radiology Physician in Gallup, New Mexico. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 16830 (AZ)

Record details

NPI number1992760250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESApril 9, 2014

Other providers in Gallup