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Organization

NEUROCARE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADHURI KOGANTI M.D. (OWNER)
(575) 439-9000
Entity
Organization

Contact information

Practice address
923 9TH ST, SUITE A, ALAMOGORDO, NM 88310-6431
(575) 439-9000
(575) 439-9144
Mailing address
923 9TH ST, SUITE A, ALAMOGORDO, NM 88310-6431
(575) 439-9000
(575) 439-9144

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD2009-0573
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104895900
MI
01
1467557124
INDIVIDUAL NPI
Enumeration date
08/26/2009
Last updated
10/16/2009
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