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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHINEY NATTAKOM, MD

Active Sole Proprietor

SHINEY NATTAKOM, MD is a Internal Medicine healthcare provider located in LAS CRUCES, New Mexico. NPI 1396739579 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAS CRUCES, NM

Registration Details

NPI Number
1396739579
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2005 (20.759453320164 yrs)
Last Updated
Jul 19, 2011
License
20050080 (NM)
Sole Proprietor
Yes

Practice Information

Address
166 ROADRUNNER PKWY
SUITE 1B
LAS CRUCES, NM, 880117044
Browse NM providers · Browse ZIP 88011
Phone
5755222222
Fax
5755213216
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in LAS CRUCES, NM

Name Credential NPI
SANGEETH SHANBHAG PAI MD 1124021225
VIRGINIA G. CORPUS MD, FACP 1144225160
DR. MICHAEL JOHN BELL M.D. 1851397723
DR. SILVIA M SIERRA FLORES MD 1134112410
ANGELICA A. CAGLIA MD 1861486201
MR. FRANCIS K. ATTIOGBE M.D. 1457346652
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.