Bangalore Puttaiah, Mohan Kumar
Bangalore Puttaiah, Mohan Kumar is an individual health care provider with primary practice located at 1600 N Main Ave , Lovington NM 88260-2830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bangalore Puttaiah, Mohan Kumar can be contacted via phone (575) 396-6611.Contact Information
Primary practice address
1600 N Main Ave
Lovington NM 88260-2830
Phone: (575) 396-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-8828 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35196 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49480 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2019-0994 | New Mexico |
Profile Details
| NPI number | 1619007697 |
|---|---|
| LBN Legal business name | Bangalore Puttaiah, Mohan Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619007697 | NPPES |
| Idaho | Other | 284867 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 0007241559 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | M-8828 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 000010145537 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 000010145534 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | CS10257 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 0-569-979-8 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 58826 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | P00161243 | ALTIUS HEALTH PLAN BILL # |
| Idaho | MEDICAID | 806780500 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 00010145533 | ALTIUS HEALTH PLAN BILL # |
| Idaho | Other | 539004052 08 | ALTIUS HEALTH PLAN BILL # |
Popular Providers
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Hopkins, Ronald D
1600 N Main Ave , Lovington NM 88260-2830 -
Yasin, Fares Hashem
1600 N Main Ave , Lovington NM 88260-2830 -
Simon, Cyril M
1600 N Main Ave , Lovington NM 88260-2830 -
Sarakanti, Naveen Kumar
1600 North Main , Lovington NM 88260-2830 -
Karnati, Bharath Reddy
1600 North Main , Lovington NM 88260-2830 -
Pena, Michael R
1600 N Main Ave , Lovington NM 88260-2830 -
Carver, Ronald Chad
1600 N Main Ave , Lovington NM 88260-2830 -
Peters, Candy L
1600 Main Street , Lovington NM 88260-2871