National Provider Identifier Database

PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
2300 E 30TH ST STE B-106
FARMINGTON, NM87401-8991
Phone: 505-421-3144
Fax: 505-421-3145
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for PROSTATE CANCER INSTITUTE OF NEW MEXICO PC

NPI Number 1619737079
Legal business name
LBN
PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
Authorized official AJAY BHATNAGAR - (OWNER AND PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 03/21/2024
Last updated 08/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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