Mohan Kumar Bangalore Puttaiah, MD
Mohan Kumar Bangalore Puttaiah, MD is a Family Practice in Lovington, New Mexico. Qualified in 1993, 33 years ago. Practices with Fedko Emergency Physicians New Mexico, LLC, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Minnesota, New Mexico and South Carolina.
- Years since qualifying
- 33
- Licensed in
- ID, MN, NM, SC
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1600 N Main AveLovington, NM 88260-2830
Phone: (575) 396-6611
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 131 Harbison Blvd Ste A, Columbia, SC 29212-2226 — (803) 485-1400
- 10040 Two Notch Rd, Columbia, SC 29223-4396 — (208) 788-1153
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD2019-0994 (NM) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence M-8828 (ID) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 35196 (SC) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 49480 (MN) |
Record details
| NPI number | 1619007697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | December 4, 2024 |
| Certification date | December 4, 2024 |
| Mailing address | 1600 N Main Ave, Lovington, NM 88260-2830 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1993 (33 years in practice) |
| Group practice | Fedko Emergency Physicians New Mexico, Llc — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Lovington
-
Neil M Berry, DO
1600 N Main, Lovington, NM 88260-2830 · (575) 396-6611
-
Ronald Chad Carver, MD
1600 N Main Ave, Lovington, NM 88260-2830 · (575) 396-6611
-
Seth Coombs, MD
1600 N Main Ave, Lovington, NM 88260-2813 · (575) 396-6611
-
Parmpreet Singh Gill, MD
1600 N Main Ave, Lovington, NM 88260-2813 · (575) 396-6611