Prana Internal Medicine Pllc | |
3292 S Bannock St Englewood CO 80110-2418 | |
(303) 761-1045 | |
(303) 761-1253 |
Full Name | Prana Internal Medicine Pllc |
---|---|
Speciality | Clinic/center |
Location | 3292 S Bannock St, Englewood, Colorado |
Authorized Official Name and Position | Khurram Hussain (MANAGER) |
Authorized Official Contact | 3037611045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prana Internal Medicine Pllc 3292 S Bannock St Englewood CO 80110-2418 Ph: (303) 761-1045 | Prana Internal Medicine Pllc 3292 S Bannock St Englewood CO 80110-2418 Ph: (303) 761-1045 |
NPI Number | 1124206396 |
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Provider Enumeration Date | 02/09/2008 |
Last Update Date | 06/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124206396 | NPI | - | NPPES |
1952368409 | Other | CO | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 40764 (Colorado) | Primary |
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