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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