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Individual

SALVADEESWARAN LAKSHMI-NARAYANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0340
(505) 367-0346
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2004-0026
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2004-0026
NM
207RP1001X
Pulmonary Disease Physician
Primary
MD2004-0026
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD2004-0026
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13638335
NM
Enumeration date
03/02/2007
Last updated
04/28/2016
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