New Mexico Center for Minimally Invasive Therapies

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD2014-0823 Issued in NM

Legal business name

NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES

Practice address

4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4495

Phone

(505) 227-9737

Fax

(505) 200-3808

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep Rao, MD

Title

Ceo Medical Director Provider

Phone

(614) 302-3561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1174911093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-227-9737",
            "fax_number": "505-200-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "address_2": "SUITE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-227-9737",
            "fax_number": "505-200-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO CENTER FOR MINIMALLY INVASIVE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR PROVIDER",
        "authorized_official_telephone_number": "614-302-3561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2014-0823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Mexico Childrens Kidney Center
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• New Mexico Colon & Rectal Surgery Associates

• Vascular & Interventional Radiology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Vascular & Interventional Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.