Organization
SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
Active
Parent organization
SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
Other names
Roswell MediCo
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
Authorized official
MR. SIAVASH KARIMIAN MD (PRESIDENT/OWENR)
(575) 625-8430
Entity
Organization
Contact information
Practice address
1621 N. WASHINGTON AVE, ROSWELL, NM 88201
(575) 625-8430
(575) 625-8452
Mailing address
PO BOX 1617, ROSWELL, NM 88202-1617
(575) 625-8430
(575) 625-8452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
143171
NM
174400000X
Specialist
MD2011-0412
NM
207Q00000X
Family Medicine Physician
Primary
MD2007-0234
NM
363A00000X
Physician Assistant
2001-PA31
NM
363LA2100X
Acute Care Nurse Practitioner
CNP02096
NM
363LP2300X
Primary Care Nurse Practitioner
CNP001177
NM
Other
Enumeration date
05/26/2009
Last updated
07/10/2013
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