Organization
ENDOSCOPY CENTER OF LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD V PODILA MD (CEO)
(505) 522-7697
Entity
Organization
Contact information
Practice address
2407 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(505) 522-7697
Mailing address
2407 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(505) 522-7697
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
6793
NM
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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