Organization
INTERNAL MEDICINE DOCTORS OF LAS CRUCES
Active
Organization
INTERNAL MEDICINE DOCTORS OF LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHINEY NATTAKOM MD (PHYSICIAN)
(505) 527-2600
Entity
Organization
Contact information
Practice address
1605 EL PASEO RD, LAS CRUCES, NM 88001-6013
(505) 527-2600
(505) 527-5342
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
01/22/2009
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