IndividualActive
Wanicha Buraphacheep-Coggins, M.D.
NPI 1083736136 · Pediatric Infectious Diseases Physician · Santa Fe, NM
Provider details
- NPI number
- 1083736136
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 98-34 (NM)
Practice location
2040 S Pacheco St
Nm Doh Family Planning Program
Santa Fe, NM 87505-5472
Phone: (505) 476-8870
Fax: (505) 476-8898
Mailing address
2040 S Pacheco St
Santa Fe, NM 87505-5472
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.