Organization
ANESTHESIA ASSOCIATES OF NEW MEXICO P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE B. MANNE M.D. (PRESIDENT)
(505) 260-4300
Entity
Organization
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT0002685
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002
—
NM
05
—
0747917
—
TX
05
—
51227
—
NM
05
—
94001930
—
CO
Enumeration date
05/24/2005
Last updated
09/27/2007
Update your record
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