Premier Family Medicine Llc | |
2283 S Monaco Pkwy Ste 105 Denver CO 80222-5845 | |
(720) 531-2370 | |
(720) 531-2370 |
Full Name | Premier Family Medicine Llc |
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Speciality | Clinic/Center |
Location | 2283 S Monaco Pkwy Ste 105, Denver, Colorado |
Authorized Official Name and Position | Misbah Darweesh Zmily (OWNER) |
Authorized Official Contact | 7205312370 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Family Medicine Llc 2283 S Monaco Pkwy Ste 105 Denver CO 80222-5845 Ph: (720) 531-2370 | Premier Family Medicine Llc 2283 S Monaco Pkwy Ste 105 Denver CO 80222-5845 Ph: (720) 531-2370 |
NPI Number | 1992339790 |
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Provider Enumeration Date | 03/02/2020 |
Last Update Date | 09/09/2020 |
Medicare PECOS PAC ID | 9739500315 |
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Medicare Enrollment ID | O20201104002621 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992339790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ali A Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013969104 PECOS PAC ID: 1658274642 Enrollment ID: I20120323000270 |
Provider Name | Misbah D Zmily |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285735332 PECOS PAC ID: 4183726722 Enrollment ID: I20140917000493 |
Provider Name | Rasha M Abdelsalam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891058467 PECOS PAC ID: 2961703830 Enrollment ID: I20151217002279 |
Provider Name | Jessica L Cox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477170470 PECOS PAC ID: 0345669297 Enrollment ID: I20200928001037 |
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