OrganizationActive
Dermatology of New Mexico LLC
NPI 1104468438 · Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1104468438
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Suraj2252500 Reddy, Ceo / MD(505) 225-2500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
610 Broadway Blvd Ne
Albuquerque, NM 87102-2372
Phone: (505) 225-2500
Fax: (505) 225-2025
Approximate (ZIP-level) locationGet directions
Mailing address
610 Broadway Blvd Ne
Albuquerque, NM 87102-2372
Registry dates
- Enumerated
- 2019-10-08
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.