| Anthem Primary Care Pllc | |
|
16677 Lowell Blvd Ste 100 Broomfield CO 80023-8053 | |
| (720) 624-6323 | |
| Not Available |
| Full Name | Anthem Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 16677 Lowell Blvd Ste 100, Broomfield, Colorado |
| Authorized Official Name and Position | Tejas Tripathi (PHYSICIAN) |
| Authorized Official Contact | 7204565542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthem Primary Care Pllc 1660 W 130th Ct Denver CO 80234-2791 Ph: (720) 624-6323 | Anthem Primary Care Pllc 16677 Lowell Blvd Ste 100 Broomfield CO 80023-8053 Ph: (720) 624-6323 |
| NPI Number | 1578332243 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 8325481435 |
|---|---|
| Medicare Enrollment ID | O20240206001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578332243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tejas B Tripathi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831406461 PECOS PAC ID: 2860626405 Enrollment ID: I20131014001463 |
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