| Munni Selagamsetty,md,pc | |
|
2875 International Circle Colorado Springs CO 80910 | |
| (719) 389-0070 | |
| Not Available |
| Full Name | Munni Selagamsetty,md,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2875 International Circle, Colorado Springs, Colorado |
| Authorized Official Name and Position | Munni R Selagamsetty (PRESIDENT) |
| Authorized Official Contact | 7193890070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munni Selagamsetty,md,pc 2875 International Circle Colorado Springs CO 80910 Ph: (719) 389-0070 | Munni Selagamsetty,md,pc 2875 International Circle Colorado Springs CO 80910 Ph: (719) 389-0070 |
| NPI Number | 1831360585 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 08/11/2008 |
| Medicare PECOS PAC ID | 4981773504 |
|---|---|
| Medicare Enrollment ID | O20080521000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831360585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29186 (Colorado) | Primary |
| Provider Name | Munni R Selagamsetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588621072 PECOS PAC ID: 2365511086 Enrollment ID: I20080521000645 |
| Provider Name | Emily Grace Mangham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295215333 PECOS PAC ID: 2769727734 Enrollment ID: I20181219001382 |
| Provider Name | Joelynn Marie Cartmell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757485 PECOS PAC ID: 6709200546 Enrollment ID: I20200727000826 |
| Provider Name | Stephanie Marie Deavila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740908151 PECOS PAC ID: 0143693879 Enrollment ID: I20230228002501 |
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