Organization
NORTHERN NEW MEXICO UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKHIL KUMAR DAS M.D. (OWNER)
(505) 661-8500
Entity
Organization
Contact information
Practice address
3917 WEST RD, SUITE 137, LOS ALAMOS, NM 87544-2275
(505) 661-8500
(505) 661-0096
Mailing address
3917 WEST RD, SUITE 137, LOS ALAMOS, NM 87544-2275
(505) 661-8500
(505) 661-0096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000-173
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9141
—
NM
01
—
NM009J59
BCBS
NM
Enumeration date
03/24/2006
Last updated
02/22/2008
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