| Ri International | |
|
1850 Copper Loop Bldg B Las Cruces NM 88005-8139 | |
| (602) 650-1212 | |
| Not Available |
| Full Name | Ri International |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1850 Copper Loop Bldg B, Las Cruces, New Mexico |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th St Ste 316 Phoenix AZ 85006-1266 Ph: (602) 650-1212 | Ri International 1850 Copper Loop Bldg B Las Cruces NM 88005-8139 Ph: (602) 650-1212 |
| NPI Number | 1306443924 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20230720000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306443924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20230725002722 |
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