# TELSHOR FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881974194
- **Authorized official:** DR. KANAKA LAKSHMY CHELLAH M.D. (PROVIDER)
- **Authorized official phone:** (575) 652-4048

## Contact information

- **Practice address:** 4500 N SONOMA RANCH BLVD, LAS CRUCES, NM 88011-7334
- **Practice address phone:** (575) 652-4048
- **Practice address fax:** (575) 556-9766
- **Mailing address:** 4500 N SONOMA RANCH BLVD, LAS CRUCES, NM 88011-7334
- **Mailing address phone:** (575) 652-4048
- **Mailing address fax:** (575) 556-9766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD20100227 | NM | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 11/15/2024