IndividualActive
Vijayakumar Praveen, MD
NPI 1659378008 · Neonatal-Perinatal Medicine Physician · Las Cruces, NM
Provider details
- NPI number
- 1659378008
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 043312 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4351 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8259
Phone: (575) 532-9077
Fax: (575) 532-9221
Approximate (ZIP-level) locationGet directions
Mailing address
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2013-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.