Individual
HARIDEEP SAMANAPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 25TH ST, ALAMOGORDO, NM 88310-8722
(575) 446-5815
Mailing address
2351 25TH ST, ALAMOGORDO, NM 88310-8722
(575) 446-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RS2025-0209
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0209
NM
Other
Enumeration date
06/27/2025
Last updated
07/11/2025
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