Individual
SHYAMAL PANSURIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1166
(575) 748-3333
Mailing address
702 N 13TH ST, ARTESIA, NM 88210-1166
(575) 748-3333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5151014355
MI
208600000X
Surgery Physician
Primary
DO2025-0029
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
05/12/2025
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