| Agha Baber Khan MD PC | |
|
1303 Fortino Blvd Ste A Pueblo CO 81008-2032 | |
| (719) 544-0052 | |
| Not Available |
| Full Name | Agha Baber Khan MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1303 Fortino Blvd Ste A, Pueblo, Colorado |
| Authorized Official Name and Position | Agha Baber Khan (PHYSICIAN OWNER) |
| Authorized Official Contact | 7195820477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agha Baber Khan MD PC Po Box 659 Pueblo CO 81002-0659 | Agha Baber Khan MD PC 1303 Fortino Blvd Ste A Pueblo CO 81008-2032 Ph: (719) 544-0052 |
| NPI Number | 1114221504 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 01/13/2017 |
| Medicare PECOS PAC ID | 3971783572 |
|---|---|
| Medicare Enrollment ID | O20110215000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114221504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | DR37853 (Colorado) | Primary |
| Provider Name | Agha Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649336546 PECOS PAC ID: 1254301484 Enrollment ID: I20110215000391 |
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