KUSUM R PRABHAKAR MD PC
Anesthesiologist Assistant at Wyoming Blvd, Albuquerque, NM

License number
New Mexico 77234
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. KUSUM R PRABHAKAR M.D
Title: PRESIDENT
Phone: (505) 275-2442
Address
Address
1336 Wyoming Blvd NE SUITE F, Albuquerque, NM 87112
National Provider ID: 1700032182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KUSUM R. PRABHAKAR, M.D., PC

Albuquerque, NM

Doing business as:
KUSUM R Prabhakar MD
Registration:
Dec 23, 1986
Phone:
(505) 275-2442 (Phone)
Addresses:
PO Box 65605, Albuquerque, NM 87193 (Mailing)
1336 Wyoming NE, Albuquerque, NM 87112 (Physical)
State ID:
1337187
Business type:
Domestic Profit
President:
Kusum R Prabhakar (President)
Agent:
Kusum R. Prabhakar,1336 Wyoming Blvd NE, Albuquerque, NM 87112 (Physical)
Categories:
Anesthesiology Physicians, Government Contractors, Physicians & Surgeons
Specialties:
Anesthesiology
Payment options:
American Express, Visa

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