Organization
NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP RAO MD (CEO MEDICAL DIRECTOR PROVIDER)
(614) 302-3561
Entity
Organization
Contact information
Practice address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
(505) 200-3808
Mailing address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
(505) 200-3808
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2014-0823
NM
Other
Enumeration date
12/30/2014
Last updated
01/07/2016
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