Organization
VITTAL T PAI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN E SARABIA (RECEPTIONIST)
(575) 522-7977
Entity
Organization
Contact information
Practice address
2415 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-7977
(575) 522-0930
Mailing address
2415 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(575) 522-7977
(575) 522-0930
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
74-218
NM
207YX0602X
Otolaryngic Allergy Physician
Primary
74-218
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347
—
NM
01
—
NM002086
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/29/2007
Last updated
11/29/2007
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