DOCTORS TIKU PC
Radiology at 3 St, Colfax, NM

License number
New Mexico 76-108
Category
Medical Practice
Type
Gynecology
License number
New Mexico 76-109
Category
Radiology
Type
Surgery
Owner
Name: OMKAR N TIKU M.D.
Title: PRESIDENT
Phone: (575) 445-5548
Address
Address
130 S 3Rd St, Colfax, NM 87740
National Provider ID: 1679617153
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOCTORS TIKU, PC

Philadelphia, PA  -  Colfax, NM

Registration:
Aug 19, 1977
Addresses:
800 Admirals Way #1844  , Philadelphia, PA 19146 (Mailing)
130 S 3 St  , Raton, NM 87740 (Physical)
State ID:
930768
Business type:
Domestic Professional Corporation
Secretarys:
Jameela B Tiku (President),Omkar N Tiku (Secretary)

Radiology licenses in New Mexico


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