Healthcare Provider Details

I. General information

NPI: 1043908536
Provider Name (Legal Business Name): JUNIOR DAVID KALAMBAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 E LOHMAN AVE STE 300
LAS CRUCES NM
88011-8262
US

IV. Provider business mailing address

4351 E LOHMAN AVE STE 300
LAS CRUCES NM
88011-8262
US

V. Phone/Fax

Practice location:
  • Phone: 575-556-7600
  • Fax:
Mailing address:
  • Phone: 575-556-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2026-0424
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: