Individual
MR. SAMBAIAH KANKANALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5320 N LOVINGTON HWY, HOBBS, NM 88240-9139
(575) 392-1973
(575) 392-2030
Mailing address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 628-5051
(575) 628-0493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12021
—
NM
01
—
NM001X04
BCBS
NM
Enumeration date
11/16/2006
Last updated
05/11/2010
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