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
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