Shiney Nattakom in Las Cruces - Internal Medicine
Shiney Nattakom - NPI 1396739579
Shiney Nattakom is a Internal Medicine in Las Cruces, New Mexico. Shiney Nattakom practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shiney Nattakom is 1396739579. The last update date is 2011-07-19.
Shiney Nattakom's current location address is 166 Roadrunner Pkwy, Las Cruces, New Mexico. You can contact this provider via phone number 5755222222 and fax number 5755213216. The mailing address for Shiney Nattakom is 166 Roadrunner Pkwy, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shiney Nattakom |
|---|---|
| Address | 166 Roadrunner Pkwy, Las Cruces, New Mexico |
| Phone Number | 5755222222 |
| Fax Number | 5755213216 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396739579 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2011-07-19 |
Provider Mailing Address Detail
| Address | 166 Roadrunner Pkwy |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880117044 |
| Phone Number | 5755222222 |
| Fax Number | 5755213216 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20050080 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM009935 | NM | BCBS | |
| 850483184 | NM | CHAMPUS | |
| 72676 | NM | PRESBYTERIAN | |
| 50904566 | NM | -- | |
| 110232565 | NM | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shiney Nattakom by the Centers for Medicare & Medicaid Services?
The Shiney Nattakom has been assigned the NPI (National Provider Identifier) 1396739579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shiney Nattakom is located?
The Shiney Nattakom is situated at the following address: 166 Roadrunner Pkwy, Las Cruces, NM, 880117044.
What is Shiney Nattakom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shiney Nattakom is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Shiney Nattakom receive the assignment of its 1396739579 from the Centers for Medicare & Medicaid Services?
The Shiney Nattakom was issued its 1396739579 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the Shiney Nattakom's information last updated?
The Shiney Nattakom's information was last updated on 2011-07-19.