| Indigo Health M.d. | |
|
3949 Corrales Rd Ste 130 Corrales NM 87048-9346 | |
| (505) 554-3874 | |
| (505) 554-3874 |
| Full Name | Indigo Health M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3949 Corrales Rd Ste 130, Corrales, New Mexico |
| Authorized Official Name and Position | Karam Sonu Bhalla (OWNER) |
| Authorized Official Contact | 5055543874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Health M.d. 3949 Corrales Rd Ste 130 Corrales NM 87048-9346 Ph: (505) 554-3874 | Indigo Health M.d. 3949 Corrales Rd Ste 130 Corrales NM 87048-9346 Ph: (505) 554-3874 |
| NPI Number | 1871268714 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Medicare PECOS PAC ID | 4284031212 |
|---|---|
| Medicare Enrollment ID | O20210917002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871268714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karam S Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972642973 PECOS PAC ID: 4789847526 Enrollment ID: I20120515000495 |
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