Organization
DERMATOLOGY OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURAJ2252500 REDDY MD (CEO / MD)
(505) 225-2500
Entity
Organization
Contact information
Practice address
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2372
(505) 225-2500
(505) 225-2025
Mailing address
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2372
(505) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
07/30/2025
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