Shiney Nattakom, MD
Shiney Nattakom, MD is an Internal Medicine in Las Cruces, New Mexico. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 31
- Licensed in
- NM
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
166 Roadrunner Pkwy Ste 1BLas Cruces, NM 88011-7044
Phone: (575) 522-2222
Fax: (575) 521-3216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 20050080 (NM) |
|---|
Record details
| NPI number | 1396739579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2005 |
| Last updated in NPPES | July 19, 2011 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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