Individual
NEILMEGH LAKSHMAN VARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2632
(505) 272-4661
(505) 272-0475
Mailing address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-0475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO3150
NV
208M00000X
Hospitalist Physician
338022
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2024-0043
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338022
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
01
—
DO3150
NV MEDICAL BOARD OF OSTEOPATHIC MEDICINE
NV
01
—
RS2024-0043
NEW MEXICO MEDICAL BOARD
NM
Enumeration date
03/17/2019
Last updated
06/26/2024
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