Organization
LAS CRUCES SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN KAMALI MD (OWNER)
(505) 522-1931
Entity
Organization
Contact information
Practice address
2803 DORAL CT, LAS CRUCES, NM 88011-8616
(505) 522-1931
(505) 532-1665
Mailing address
PO BOX 16544, LAS CRUCES, NM 88004-6544
(505) 522-1931
(505) 532-1665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2004-0619
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23051531
—
NM
Enumeration date
01/05/2007
Last updated
05/01/2009
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