Individual
DR. RAVI BHASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NEEL AVE, SOCORRO, NM 87801-4649
(575) 835-2940
(575) 835-2216
Mailing address
200 NEEL AVE., SOCORRO, NM 87801-4649
(575) 835-2940
(575) 835-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75111
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3236
—
NM
Enumeration date
09/21/2006
Last updated
08/09/2010
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