Provider Demographics
NPI:1043306178
Name:NEW MEXICO CARDIOLOGY & ARRYTHMIA CONSULTANTS, PC
Entity Type:Organization
Organization Name:NEW MEXICO CARDIOLOGY & ARRYTHMIA CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEMOSTHENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KLONIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:505-532-5838
Mailing Address - Street 1:4351 E LOHMAN AVE
Mailing Address - Street 2:#408
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8259
Mailing Address - Country:US
Mailing Address - Phone:505-532-5838
Mailing Address - Fax:
Practice Address - Street 1:4351 E LOHMAN AVE
Practice Address - Street 2:#408
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8259
Practice Address - Country:US
Practice Address - Phone:505-532-5838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty