Individual
SASIREKA RAMALINGAPURAM MUTHUSWAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 216-2727
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 216-2727
(505) 365-1006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
69272
NM
207R00000X
Internal Medicine Physician
69272
NM
208D00000X
General Practice Physician
69272
NM
363L00000X
Nurse Practitioner
69272
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
69272
NM
Other
Enumeration date
09/12/2024
Last updated
03/06/2025
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