Kalu B Long, MD | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 753-7111 | |
Not Available |
Full Name | Kalu B Long |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770119679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD2023-1039 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Kalu B Long, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Kalu B Long, MD 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 753-7111 |
Rajan K Mirchandani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital Pmg Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-4470 | |
William M Ryan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Salvadeeswaran Lakshmi-narayanan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Melissa Diane Sugar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce Street, Hospitalist-espanola, Espanola, NM 87532 Phone: 505-753-7111 Fax: 053-670-2885 | |
Jorge A Aguilar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 |