Seva Family Medicine Llc | |
9397 Crown Crest Blvd Ste 431 Parker CO 80138-8789 | |
(334) 294-5164 | |
Not Available |
Full Name | Seva Family Medicine Llc |
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Speciality | Family Medicine |
Location | 9397 Crown Crest Blvd Ste 431, Parker, Colorado |
Authorized Official Name and Position | Gurvinder Singh Mangat (OWNER) |
Authorized Official Contact | 7202627382 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seva Family Medicine Llc 9397 Crown Crest Blvd Ste 431 Parker CO 80138-8789 Ph: (720) 262-7382 | Seva Family Medicine Llc 9397 Crown Crest Blvd Ste 431 Parker CO 80138-8789 Ph: (334) 294-5164 |
NPI Number | 1568116564 |
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Provider Enumeration Date | 02/08/2022 |
Last Update Date | 03/29/2023 |
Medicare PECOS PAC ID | 1254725278 |
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Medicare Enrollment ID | O20220308000857 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568116564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gurvinder Singh Mangat |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851606123 PECOS PAC ID: 3476877499 Enrollment ID: I20180221001598 |
Provider Name | Shannon Brooke Mangat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588234322 PECOS PAC ID: 3577968510 Enrollment ID: I20210830000319 |
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