San Miguel Clinic Corp Dba Northern New Mexico Urology

LBN: San Miguel Clinic Corp Dba Northern New Mexico Urology
San Miguel Clinic Corp Dba Northern New Mexico Urology is an health care organization with primary practice located at 2301 7Th St , Las Vegas NM 87701-4966. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. San Miguel Clinic Corp Dba Northern New Mexico Urology can be contacted via phone (505) 454-4000, or through Das, Akhil via phone (505) 454-4000.

Contact Information

Primary practice address
2301 7Th St Las Vegas NM 87701-4966
Fax: (505) 454-4004
Website:
Authorized official contact:
Name: Das, Akhil Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2000173 New Mexico

Profile Details

NPI number 1306830450
LBN Legal business name San Miguel Clinic Corp Dba Northern New Mexico Urology
DBA Doing business as
Authorized official Das, Akhil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 22nd, 2020 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306830450 NPPES
New Mexico MEDICAID 09426531

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