Muralidhasan, Srirengam

Muralidhasan, Srirengam is an individual health care provider with primary practice located at 1605 El Paseo Rd , Las Cruces NM 88001-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Muralidhasan, Srirengam can be contacted via phone (575) 523-5400.

Contact Information

Primary practice address
1605 El Paseo Rd Las Cruces NM 88001-6010
Fax: (575) 523-5401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 98-125 New Mexico

Profile Details

NPI number 1902898257
LBN Legal business name Muralidhasan, Srirengam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated May 1st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902898257 NPPES
New Mexico Other P00212854 RR MEDICARE
New Mexico MEDICAID 41326857 RR MEDICARE

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