NPI 1619007697 · live from the CMS NPI Registry
Mohan Kumar Bangalore Puttaiah, MD
Family Medicine in Lovington, NM. National Provider Identifier 1619007697, active.
NPI record
| NPI | 1619007697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1600 N Main Ave, Lovington, NM 88260 |
| Practice phone | 575-396-6611 |
| Enumerated | March 7, 2007 |
| Last updated | December 4, 2024 |
| Sole proprietor | No |
| Other names | Mohan Kumar |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | M-8828 (ID) |
| Family Medicine | 207Q00000X | 35196 (SC) |
| Family Medicine | 207Q00000X | 49480 (MN) |
| Family Medicine primary | 207Q00000X | MD2019-0994 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.