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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NORTHERN NEW MEXICO UROLOGY LLC

NPI # 1386604304
LBN Legal business name NORTHERN NEW MEXICO UROLOGY LLC
Authorized official AKHIL DAS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2006
Last updated 02/22/2008 - About 18 years ago
Identifiers
NM License # 2000-173
NM Medicaid B9141
NM Other NM009J59 BCBS
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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