Organization
HOME DIALYSIS OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJU CHERIAN M.D. (PARTNER)
(505) 842-5210
Entity
Organization
Contact information
Practice address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 842-5210
Mailing address
700 LOMAS BLVD NE, THREE WOODWARD CENTER, ALBUQUERQUE, NM 87102-2568
(505) 842-5210
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72133287
—
NM
Enumeration date
11/03/2011
Last updated
10/16/2015
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