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Organization
UNIVERSITY OF NEW MEXICO HOSPITALS
Active
Organization
UNIVERSITY OF NEW MEXICO HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIREESHA KOPPULA MD,MBA,MPH (CMO AMBULATORY)
(520) 237-2545
Entity
Organization
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(520) 237-2545
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(520) 237-2545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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