Colorado Internal Medicine Associates, Pc | |
3940 Broadlands Ln Broomfield CO 80023-9541 | |
(303) 460-7391 | |
Not Available |
Full Name | Colorado Internal Medicine Associates, Pc |
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Speciality | Internal Medicine |
Location | 3940 Broadlands Ln, Broomfield, Colorado |
Authorized Official Name and Position | Indira Mahalingam (PRESIDENT) |
Authorized Official Contact | 3034607391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colorado Internal Medicine Associates, Pc 3940 Broadlands Ln Broomfield CO 80023-9541 Ph: (303) 460-7391 | Colorado Internal Medicine Associates, Pc 3940 Broadlands Ln Broomfield CO 80023-9541 Ph: (303) 460-7391 |
NPI Number | 1437454147 |
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Provider Enumeration Date | 01/12/2011 |
Last Update Date | 01/12/2011 |
Medicare PECOS PAC ID | 5092992834 |
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Medicare Enrollment ID | O20110606000093 |
Identifier | Type | State | Issuer |
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1437454147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 37217 (Colorado) | Primary |
Provider Name | Indira Mahalingam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164583324 PECOS PAC ID: 2264465558 Enrollment ID: I20050916000436 |
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