Healthcare Provider Details

I. General information

NPI: 1306578463
Provider Name (Legal Business Name): MILLENNIUM NEONATOLOGY OF NEW MEXICO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 MONTGOMERY BLVD NE
ALBUQUERQUE NM
87109-1226
US

IV. Provider business mailing address

PO BOX 20236
BEAUMONT TX
77720-0236
US

V. Phone/Fax

Practice location:
  • Phone: 855-222-9637
  • Fax:
Mailing address:
  • Phone: 855-222-9637
  • Fax: 877-383-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SNEHAL DOSHI
Title or Position: MD/OWNER
Credential: MD
Phone: 855-222-9637