| Neurology & Sleep Medicine | |
|
1101 Golf Course Rd Se Suite 203 Rio Rancho NM 87124-4728 | |
| (505) 234-1616 | |
| (505) 234-1617 |
| Full Name | Neurology & Sleep Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1101 Golf Course Rd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Senthilkumar Ramasamy (PRESIDENT) |
| Authorized Official Contact | 5052341616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology & Sleep Medicine 1101 Golf Course Rd Se Suite 203 Rio Rancho NM 87124-4728 Ph: (505) 234-1616 | Neurology & Sleep Medicine 1101 Golf Course Rd Se Suite 203 Rio Rancho NM 87124-4728 Ph: (505) 234-1616 |
| NPI Number | 1316133580 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 1254230022 |
|---|---|
| Medicare Enrollment ID | O20031231000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316133580 | NPI | - | NPPES |
| 1326056201 | Other | NM | NPI |
| 01723049 | Medicaid | NM | |
| 1316133580 | Other | NM | NPI |
| 43027261 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2003-0552 (New Mexico) | Primary |
| Provider Name | Senthilkumar Ramasamy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1326056201 PECOS PAC ID: 4688573462 Enrollment ID: I20040105000247 |
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