Anthem Primary Care | |
16677 Lowell Blvd Ste 100 Broomfield CO 80023-8053 | |
(720) 624-6323 | |
Not Available |
Full Name | Anthem Primary Care |
---|---|
Speciality | Family Medicine |
Location | 16677 Lowell Blvd Ste 100, Broomfield, Colorado |
Authorized Official Name and Position | Tejas Tripathi (PHYSICIAN) |
Authorized Official Contact | 7204565542 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anthem Primary Care 1660 W 130th Ct Denver CO 80234-2791 Ph: (720) 624-6323 | Anthem Primary Care 16677 Lowell Blvd Ste 100 Broomfield CO 80023-8053 Ph: (720) 624-6323 |
NPI Number | 1578332243 |
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Provider Enumeration Date | 12/22/2023 |
Last Update Date | 12/22/2023 |
Medicare PECOS PAC ID | 8325481435 |
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Medicare Enrollment ID | O20240206001789 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578332243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tejas B Tripathi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831406461 PECOS PAC ID: 2860626405 Enrollment ID: I20131014001463 |
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