| 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 |
|---|---|
| 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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