| Himalaya Family Medicine Clinic Pllc | |
|
1550 S Potomac St Suite 250 Aurora CO 80012 | |
| (720) 880-8376 | |
| Not Available |
| Full Name | Himalaya Family Medicine Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1550 S Potomac St Suite 250, Aurora, Colorado |
| Authorized Official Name and Position | Bipin Kumar (PRESIDENT) |
| Authorized Official Contact | 7208808376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Himalaya Family Medicine Clinic Pllc 1550 S Potomac St Suite 250 Aurora CO 80012 Ph: (720) 880-8376 | Himalaya Family Medicine Clinic Pllc 1550 S Potomac St Suite 250 Aurora CO 80012 Ph: (720) 880-8376 |
| NPI Number | 1780026914 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 07/30/2013 |
| Medicare PECOS PAC ID | 3971731373 |
|---|---|
| Medicare Enrollment ID | O20140110000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780026914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46681 (Colorado) | Primary |
| Provider Name | Bipin Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104943976 PECOS PAC ID: 7719087436 Enrollment ID: I20110420000522 |
| Provider Name | Mirabel T Usongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677606 PECOS PAC ID: 4587652672 Enrollment ID: I20190311001819 |
| Provider Name | Grace A Noynay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457955759 PECOS PAC ID: 9638560394 Enrollment ID: I20220106002946 |
| Provider Name | Brandi Konecny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174271746 PECOS PAC ID: 6608263801 Enrollment ID: I20220418000953 |
| Provider Name | Emma Ludema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154016608 PECOS PAC ID: 2163882705 Enrollment ID: I20230714001459 |
| Provider Name | Julia Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013541937 PECOS PAC ID: 5496191959 Enrollment ID: I20240307000983 |
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