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Organization
NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES
Active
Organization
NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP RAO MD (CEO MEDICAL DIRECTOR PROVIDER)
(614) 302-3561
Entity
Organization
Contact information
Practice address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
(505) 200-3808
Mailing address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
(505) 200-3808
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2014-0823
NM
Other
Enumeration date
12/30/2014
Last updated
01/07/2016
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