Organization
NITOVO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH NEELAGARU (OWNER)
(505) 506-9638
Entity
Organization
Contact information
Practice address
2500 US HIGHWAY 84, CHAMA, NM 87520-0784
(505) 305-7766
(505) 305-7066
Mailing address
2500 US HIGHWAY 84, CHAMA, NM 87520-0784
(505) 305-7766
(505) 305-7066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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