Organization
SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY
Active
Organization
SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKHIL DAS MD (UROLOGY)
(505) 454-4000
Entity
Organization
Contact information
Practice address
2301 7TH ST, LAS VEGAS, NM 87701-4966
(505) 454-4000
(505) 454-4004
Mailing address
2301 7TH ST, LAS VEGAS, NM 87701-4966
(505) 454-4000
(505) 454-4004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2000173
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09426531
—
NM
Enumeration date
09/06/2005
Last updated
08/22/2020
Update your record
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