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

Manideep Gotur, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710384581

Manideep Gotur, MD is a Student in an Organized Health Care Education/Training Program in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4005 High Resort Blvd SE
Rio Rancho, NM 87124-5906
Phone: (505) 462-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2016-0014 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710384581
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2014
Last updated in NPPESJune 27, 2016

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