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Individual

SUCHARITHA MEKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2625 MCNUTT RD, SUNLAND PARK, NM 88063
(575) 589-0887
(575) 589-0898
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2015-0933
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35454326
NM
01
540643YRND
MEDICARE
NM
Enumeration date
07/11/2013
Last updated
08/28/2018
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