OrganizationActive
San Miguel Clinic Corp Dba Northern New Mexico Urology
NPI 1306830450 · Urology Physician · Las Vegas, NM
Provider details
- NPI number
- 1306830450
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Akhil Das, Urology(505) 454-4000
- License
- 2000173 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2301 7th St
Las Vegas, NM 87701-4966
Phone: (505) 454-4000
Fax: (505) 454-4004
Approximate (ZIP-level) locationGet directions
Mailing address
2301 7th St
Las Vegas, NM 87701-4966
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.