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Contact Information

NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES
4901 LANG AVE NE
SUITE 202
ALBUQUERQUE, NM87109-4495
 Phone: 505-227-9737
 Fax: 505-200-3808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES

NPI # 1174911093
LBN Legal business name NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES
Authorized official SANDEEP RAO - (CEO MEDICAL DIRECTOR PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/30/2014
Last updated 01/07/2016 - About 10 years ago
Identifiers
NM License # MD2014-0823
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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