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Individual

NINAD P SHET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1511 SOUTH GRAND, ROSWELL, NM 88203
(575) 623-3255
(575) 625-9901
Mailing address
PO BOX 843, PORTALES, NM 88130-0843
(575) 623-3255
(575) 625-9901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10041385
TX
207R00000X
Internal Medicine Physician
Primary
MD2014-0640
NM

Other

Enumeration date
09/06/2011
Last updated
08/27/2014
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