| Romanat Clinic, Inc | |
|
13901 E. Exposition Ave #230 Aurora CO 80012-2535 | |
| (303) 364-1422 | |
| (303) 364-1454 |
| Full Name | Romanat Clinic, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13901 E. Exposition Ave, Aurora, Colorado |
| Authorized Official Name and Position | Haftu Gebrehiwot (OWNER-PHYSICIAN) |
| Authorized Official Contact | 3033641422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Romanat Clinic, Inc 13901 E. Exposition Ave #230 Aurora CO 80012-2535 Ph: (303) 364-1422 | Romanat Clinic, Inc 13901 E. Exposition Ave #230 Aurora CO 80012-2535 Ph: (303) 364-1422 |
| NPI Number | 1740580562 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 2668657768 |
|---|---|
| Medicare Enrollment ID | O20110505000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740580562 | NPI | - | NPPES |
| 74970551 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 46877 (Colorado) | Primary |
| Provider Name | Haftu K Gebrehiwot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568664860 PECOS PAC ID: 3274690813 Enrollment ID: I20090325000586 |
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