person
Shiney Nattakom, MD
Internal Medicine Physician in Las Cruces, New Mexico
NPI 1396739579

Shiney Nattakom is a Internal Medicine Physician based in Las Cruces, NM. Shiney Nattakom practices in Las Cruces, NM and has the professional credentials of MD. The NPI Number for Shiney Nattakom is 1396739579 and holds a License No. 20050080 (New Mexico).

The current practice location address for Shiney Nattakom is 166 Roadrunner Pkwy, Las Cruces, NM and can be reached out via phone at 575-522-2222 and via fax at 575-521-3216.

Location: 166 Roadrunner Pkwy, Las Cruces, NM, 88004-1560
person
Provider Profile Details
NPI Number
1396739579
Provider Name
Shiney Nattakom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
166 Roadrunner Pkwy, Las Cruces, NM, 88004-1560
Phone Number
575-522-2222
Fax Number
575-521-3216
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM009935 01 NM BCBS
850483184 01 NM CHAMPUS
72676 01 NM PRESBYTERIAN
50904566 05 NM
110232565 01 NM RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
166 Roadrunner Pkwy
City
State
Zip
88011-7044
Phone Number
575-522-2222
Fax Number
575-521-3216
person
Provider Business Mailing Address Details
Address
166 Roadrunner Pkwy
City
State
Zip
88011-7044
Phone Number
575-522-2222
Fax Number
575-521-3216
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
20050080 (New Mexico)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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