San Miguel Clinic Corp DBA Northern New Mexico Urology

NPI #1306830450 in Las Vegas, New Mexico

Provider Information

NPI Number: 1306830450
Entity Type: Organization
Organization Name: San Miguel Clinic Corp DBA Northern New Mexico Urology
Primary Specialty: Urology
Enumeration Date: Sep 6, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 2301 7TH ST
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4966
Phone: (505) 454-4000

Authorized Official

Name: DR. AKHIL DAS, MD
Title: UROLOGY
Phone: (505) 454-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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