Individual
DR. SUNEEL KUMAR NAMBURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 JUAN TABO BLVD NE, STE Q, ALBUQUERQUE, NM 87123-1444
(630) 730-9676
Mailing address
85 W HWY 22, SANTO DOMINGO PUEBLO, NM 87052
(630) 730-9676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32284756
—
NM
05
—
337266602
—
TX
Enumeration date
08/24/2013
Last updated
09/19/2022
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