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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 Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

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

NPI # 1619737079
LBN Legal business name PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
Authorized official AJAY BHATNAGAR - (OWNER AND PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2024
Last updated 08/15/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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