Individual
SNEHARIKA BHAVANASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO MSC09 5040, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC09 5040, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS2024-0201
NEW MEXICO LINCENSE
NM
Enumeration date
04/15/2024
Last updated
11/20/2024
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