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NORTHERN NEW MEXICO UROLOGY LLC NPI 1386604304


NPI Information

NPI: 1386604304
Provider Name: NORTHERN NEW MEXICO UROLOGY LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3917 WEST RD
SUITE 137
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 661-8500
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NORTHERN NEW MEXICO UROLOGY LLC is a specialist in Los Alamos, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHERN NEW MEXICO UROLOGY LLC NPI is 1386604304. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3917 WEST RD
SUITE 137
LOS ALAMOS, NM
ZIP 87544-275
Phone: (505) 661-8500
Fax: (505) 661-0096

The provider's authorized official is Akhil Kumar Das .
The authorized official title is Owner and has the following contact phone number (505) 661-8500.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist2000-173NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NM009J59OTHERNEW MEXICOBCBS
2B9141MEDICAIDNEW MEXICO
3G81450MEDICARE UPINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.