Doctors Tiku PC
Surgery in Raton, NM. Organization (NPI-2).
NPI number1679617153
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1679617153
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctors Tiku PC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2007
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 76-109 | NM | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 76-108 | NM |
Practice location
130 S 3rd StRaton, NM 87740-3910
Phone 575-445-5548 · Fax 575-445-5560
Mailing address
Po Box 968Raton, NM 87740-0968
Phone 575-445-5548 · Fax 575-445-5560
Authorized official
Omkar N Tiku
President
5754455548
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