Organization
SUPAM LLC
Active
Organization
SUPAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESHBHAI B PATEL MD (OWNER)
(732) 713-2824
Entity
Organization
Contact information
Practice address
5419 NORTH LOVINGTON HIGHWAY, SUITE 7, HOBBS, NM 88240-9135
(575) 392-3903
(575) 392-3911
Mailing address
5419 N LOVINGTON HWY, SUITE 7, HOBBS, NM 88240-9100
(575) 392-3903
(575) 392-3911
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
03/01/2012
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