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Tyler Shackelford, DO — NPI 1487996427, Albuquerque, NM | NPI Central

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NPI 1487996427

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Tyler Shackelford, DO

NPI 1487996427 · Critical Care Medicine (Internal Medicine) Physician · Albuquerque, NM

Provider details

NPI number: 1487996427
Entity type: Individual
Primary specialty: Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: R06-2013 (NM)

Specialties & taxonomies

Critical Care Medicine (Internal Medicine) PhysicianPrimary207RC0200XLicense A-20176-16 (NM)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense R06-2013 (NM)
Student, Health Care

Practice location

601 Dr Martin Luther King Jr Ave Ne

Albuquerque, NM 87102-3619

Phone: (505) 727-8206

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

4101 Indian School Rd Ne Ste 110

Albuquerque, NM 87110-3991

Additional practice locations (1)

I University of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-6331
Fax: (505) 272-4628

Registry dates

Enumerated: 2013-03-16
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.