Organization
SRIRENGAM MURALIDHASAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA QUINTANA (OFFICE MANAGER)
(575) 405-7665
Entity
Organization
Contact information
Practice address
1605 EL PASEO RD, LAS CRUCES, NM 88001-6013
(575) 527-2600
(575) 527-5342
Mailing address
1605 EL PASEO RD, LAS CRUCES, NM 88001-6013
(575) 405-7665
(877) 539-2504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6647
—
NM
Enumeration date
08/16/2005
Last updated
01/12/2021
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