| Magnolia Medical Company | |
|
1850 Race St Denver CO 80206 | |
| (303) 209-5115 | |
| Not Available |
| Full Name | Magnolia Medical Company |
|---|---|
| Speciality | Internal Medicine |
| Location | 1850 Race St, Denver, Colorado |
| Authorized Official Name and Position | Pradeep Raj Rai (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3032095115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Company 1850 Race St Denver CO 80206-1116 Ph: () - | Magnolia Medical Company 1850 Race St Denver CO 80206 Ph: (303) 209-5115 |
| NPI Number | 1043769862 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 07/09/2018 |
| Medicare PECOS PAC ID | 0749548253 |
|---|---|
| Medicare Enrollment ID | O20171211000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043769862 | NPI | - | NPPES |
| Provider Name | Elisabeth M Fabrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669493383 PECOS PAC ID: 0042274094 Enrollment ID: I20071219000245 |
| Provider Name | Stefanie Ann Huff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598714404 PECOS PAC ID: 7315977691 Enrollment ID: I20080214000025 |
| Provider Name | Ann P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467575167 PECOS PAC ID: 6507043031 Enrollment ID: I20110608000783 |
| Provider Name | Pradeep R Rai |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184863631 PECOS PAC ID: 1850510124 Enrollment ID: I20150504000473 |
| Provider Name | Joseph B Ramharack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878219 PECOS PAC ID: 8729389994 Enrollment ID: I20151211001056 |
| Provider Name | Esther Oyinade Okanlawon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073917035 PECOS PAC ID: 2961624986 Enrollment ID: I20170901001386 |
| Provider Name | Kelly Marie Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356647655 PECOS PAC ID: 6709184146 Enrollment ID: I20171226000579 |
| Provider Name | Steven A Ginsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952892101 PECOS PAC ID: 5597011155 Enrollment ID: I20180712000444 |
| Provider Name | Alma Leticia Silva-gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750865374 PECOS PAC ID: 9436402534 Enrollment ID: I20181018002043 |
| Provider Name | Christopher Rose |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962401364 PECOS PAC ID: 6800823824 Enrollment ID: I20210126003562 |
| Provider Name | Daniel Shodell |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1427423995 PECOS PAC ID: 5193131431 Enrollment ID: I20210310002428 |
| Provider Name | Blaine Wajdowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639604853 PECOS PAC ID: 8729485297 Enrollment ID: I20210927000377 |
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