Organization
PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY BHATNAGAR MD (OWNER AND PHYSICIAN)
(520) 360-2895
Entity
Organization
Contact information
Practice address
2300 E 30TH ST STE B-106, FARMINGTON, NM 87401-8991
(505) 421-3144
(505) 421-3145
Mailing address
PO BOX 15088, PHOENIX, AZ 85060-5088
(505) 421-3144
(505) 421-3145
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
08/15/2024
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