Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Urology of New Mexico LLC

Organization Urology Physician · NPI 1558667873

Advanced Urology of New Mexico LLC is an Urology Physician in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3917 W Rd Ste 137
Los Alamos, NM 87544-2275
Phone: (505) 661-8500
Fax: (505) 661-0096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (NM)

Record details

NPI number1558667873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pavel Mourachov — Owner · (505) 661-8500
NPI enumeratedFebruary 3, 2011
Last updated in NPPESFebruary 3, 2011
Mailing address3917 West Rd, Suite 137, Los Alamos, NM 87544-2275

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