| Internal Medicine Associates Of Colorado Springs Pc | |
|
2920 N Cascade Ave Colorado Springs CO 80907-6262 | |
| (719) 227-0027 | |
| (719) 434-9727 |
| Full Name | Internal Medicine Associates Of Colorado Springs Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2920 N Cascade Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sridhar Reddy (PRESIDENT) |
| Authorized Official Contact | 7192270027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Colorado Springs Pc 2920 N Cascade Ave Colorado Springs CO 80907-6262 Ph: (719) 227-0027 | Internal Medicine Associates Of Colorado Springs Pc 2920 N Cascade Ave Colorado Springs CO 80907-6262 Ph: (719) 227-0027 |
| NPI Number | 1245348226 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8022024702 |
|---|---|
| Medicare Enrollment ID | O20060306000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245348226 | NPI | - | NPPES |
| 38609347 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37618 (Colorado) | Primary |
| Provider Name | Sridhar Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033268040 PECOS PAC ID: 3870588247 Enrollment ID: I20040415000972 |
| Provider Name | Cynthia Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254497 PECOS PAC ID: 4385943422 Enrollment ID: I20160425001253 |
| Provider Name | Sagar Dhanawade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669992681 PECOS PAC ID: 1951673714 Enrollment ID: I20170815001037 |
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