MOHAN KUMAR BANGALORE PUTTAIAH MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1619007697- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1600 N MAIN AVE, LOVINGTON, NM, 882602830
- Phone
- (575) 396-6611
Specialties & Taxonomies
Family Medicine
License: ID #M-8828
Family Medicine
License: SC #35196
Family Medicine
License: MN #49480
Family Medicine
Primary License: NM #MD2019-0994