MOHAN KUMAR BANGALORE PUTTAIAH

LOVINGTON, NM
NPI1619007697
Other NameMOHAN KUMAR
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2019-0994)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  M-8828)
207Q00000X Family Medicine
(Licence: SC  35196)
207Q00000X Family Medicine
(Licence: MN  49480)
Enumeration Date2007-03-07
Last Update Date2023-03-07
Business Address
MOHAN KUMAR BANGALORE PUTTAIAH MD
1600 N MAIN AVE
LOVINGTON, NM 88260-2830
Phone number: 575-396-6611
Mailing Address
MOHAN KUMAR BANGALORE PUTTAIAH MD
1600 N MAIN AVE
LOVINGTON, NM 88260-2830
Phone number: 575-396-6611