Individual
DR. CHENTHURAN DEIVARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4351 E LOHMAN AVE STE 301, LAS CRUCES, NM 88011-8262
(575) 532-9755
(575) 532-8881
Mailing address
4351 E LOHMAN AVE STE 301, LAS CRUCES, NM 88011-8262
(575) 532-9755
(575) 532-8881
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60558-20
WI
207X00000X
Orthopaedic Surgery Physician
Primary
MD2014-0664
NM
207X00000X
Orthopaedic Surgery Physician
ME121046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47485817
—
NM
Enumeration date
08/08/2011
Last updated
09/09/2020
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