Organization
UNIVERSITY OF NEW MEXICO HOSPITALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIREESHA KOPPULA MD,MBA,MPH (CMO AMBULATORY)
(520) 237-2545
Entity
Organization
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(520) 237-2545
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(520) 237-2545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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