National Provider Identifier Database

NORTHERN NEW MEXICO UROLOGY LLC
Specialist

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.


Contact Information

NORTHERN NEW MEXICO UROLOGY LLC
3917 WEST RD
SUITE 137
LOS ALAMOS, NM87544-2275
Phone: 505-661-8500
Fax: 505-661-0096
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NORTHERN NEW MEXICO UROLOGY LLC

NPI Number 1386604304
Legal business name
LBN
NORTHERN NEW MEXICO UROLOGY LLC
Authorized official AKHIL DAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/24/2006
Last updated 02/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 2000-173
  • NM Medicaid: B9141
  • NM Other: NM009J59 BCBS

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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