Cachomed Inc | |
1692 Hospital Dr Santa Fe NM 87505-4754 | |
(505) 577-3186 | |
Not Available |
Full Name | Cachomed Inc |
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Speciality | Family Medicine |
Location | 1692 Hospital Dr, Santa Fe, New Mexico |
Authorized Official Name and Position | Daniel Radunsky (CEO/MEDICAL DIRECTOR) |
Authorized Official Contact | 5059198598 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cachomed Inc 1692 Hospital Dr Santa Fe NM 87505-4754 Ph: () - | Cachomed Inc 1692 Hospital Dr Santa Fe NM 87505-4754 Ph: (505) 577-3186 |
NPI Number | 1720404908 |
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Provider Enumeration Date | 03/11/2014 |
Last Update Date | 03/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720404908 | NPI | - | NPPES |
16405358 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2008-0026 (New Mexico) | Primary |
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