| Agami Health Services Llc | |
|
10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 | |
| (303) 800-6463 | |
| (303) 500-6585 |
| Full Name | Agami Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10099 Ridgegate Pkwy Ste 420, Lone Tree, Colorado |
| Authorized Official Name and Position | Hy Gia Park (MANAGING PARTNER) |
| Authorized Official Contact | 8082861607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agami Health Services Llc 10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 Ph: (303) 800-6463 | Agami Health Services Llc 10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 Ph: (303) 800-6463 |
| NPI Number | 1194183020 |
|---|---|
| Provider Enumeration Date | 02/06/2016 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2062842776 |
|---|---|
| Medicare Enrollment ID | O20200421001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194183020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Charles K Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235214131 PECOS PAC ID: 2769585413 Enrollment ID: I20100609000647 |
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