Provider Demographics
NPI:1912945445
Name:TAMUPOVI, SANDORA TAUZ
Entity type:Individual
Prefix:MS
First Name:SANDORA
Middle Name:TAUZ
Last Name:TAMUPOVI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 YOPOVI PO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-2642
Mailing Address - Country:US
Mailing Address - Phone:505-692-0050
Mailing Address - Fax:
Practice Address - Street 1:10 YOPOVI PO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87506
Practice Address - Country:US
Practice Address - Phone:505-692-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM374J00000X
NM5228171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No374J00000XNursing Service Related ProvidersDoula