Supam LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUPAM LLC

Practice address

5419 North Lovington Highway
Suite 7
Hobbs, NM 88240-9135

Phone

(575) 392-3903

Fax

(575) 392-3911

NPI assigned

May 12, 2011

Last updated

Mar 1, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mukeshbhai B Patel, MDNPI 1639276934

Title

Owner

Phone

(732) 713-2824

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mukeshbhai B Patel, M.D.

  • Cardiovascular Disease Physician
  • Hobbs, NM
  • NPI 1639276934
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1104118884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "address_2": "SUITE 7",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409100",
            "telephone_number": "575-392-3903",
            "fax_number": "575-392-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 NORTH LOVINGTON HIGHWAY",
            "address_2": "SUITE 7",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409135",
            "telephone_number": "575-392-3903",
            "fax_number": "575-392-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESHBHAI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-713-2824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Stewart, LPCC
• Lakeasha Stewart
• Carmen Stone, LCSW
• Stephendanell E Stroud
• Carol Tracy Suit, M.D.
• Heather Lynn Swinney
• Sylvan Bartlett PA (Eastern New Mexico Ear, Nose, and Throat Associates)
• Jeff O Tabor, DC
• Victoria Tanner
• Delma Tarin

• Clinic/Center in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.