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Contact Information

SRINIVASA R MIDTHANA
1025 EL PASEO RD
LAS CRUCES, NM88001
 Phone: 888-988-4066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SRINIVASA R MIDTHANA · (Male)

NPI # 1174805642
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2011
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD3595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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