3 G Medical Consultants, Llc | |
417 Security Blvd Colorado Springs CO 80911-1728 | |
(719) 368-6628 | |
(719) 368-6629 |
Full Name | 3 G Medical Consultants, Llc |
---|---|
Speciality | Family Medicine |
Location | 417 Security Blvd, Colorado Springs, Colorado |
Authorized Official Name and Position | Rodney R Muhammad (OWNER) |
Authorized Official Contact | 7193686628 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
3 G Medical Consultants, Llc 417 Security Blvd Colorado Springs CO 80911-1728 Ph: (171) 936-86628 | 3 G Medical Consultants, Llc 417 Security Blvd Colorado Springs CO 80911-1728 Ph: (719) 368-6628 |
NPI Number | 1831611086 |
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Provider Enumeration Date | 07/10/2017 |
Last Update Date | 09/08/2017 |
Medicare PECOS PAC ID | 4880950856 |
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Medicare Enrollment ID | O20171107002039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831611086 | NPI | - | NPPES |
05321875 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | DR.0052572 (Colorado) | Primary |
Provider Name | Rodney Richard Muhammad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659481430 PECOS PAC ID: 4284737107 Enrollment ID: I20140218001322 |
Provider Name | Helen-elena Emegbagha |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518474469 PECOS PAC ID: 0446515597 Enrollment ID: I20200827003498 |
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