Healthcare Provider Details

I. General information

NPI: 1861189367
Provider Name (Legal Business Name): KIDNEY CONSULTANTS OF NEW MEXICO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 S TELSHOR BLVD
LAS CRUCES NM
88011-5049
US

IV. Provider business mailing address

4849 N MESA ST STE 201
EL PASO TX
79912-5919
US

V. Phone/Fax

Practice location:
  • Phone: 575-249-2225
  • Fax: 575-249-2235
Mailing address:
  • Phone: 915-351-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARAMVEER SALUJA
Title or Position: OWNER
Credential: MD
Phone: 915-351-6600