| Pankaj Nashikkar Md Llc | |
|
2920 N Cascade Ave Suite 200 Colorado Springs CO 80907-6262 | |
| (719) 232-1939 | |
| Not Available |
| Full Name | Pankaj Nashikkar Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2920 N Cascade Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Pankaj Nashikkar (CEO) |
| Authorized Official Contact | 7192321939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pankaj Nashikkar Md Llc 3745 Outback Vista Pt Colorado Springs CO 80904-4605 Ph: (719) 232-1939 | Pankaj Nashikkar Md Llc 2920 N Cascade Ave Suite 200 Colorado Springs CO 80907-6262 Ph: (719) 232-1939 |
| NPI Number | 1740639525 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 04/25/2017 |
| Medicare PECOS PAC ID | 5597057828 |
|---|---|
| Medicare Enrollment ID | O20160707000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740639525 | NPI | - | NPPES |
| 14927837 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pankaj Nashikkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457413338 PECOS PAC ID: 6608974217 Enrollment ID: I20070605000673 |
| Provider Name | Eileen A Flavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295221 PECOS PAC ID: 9537268438 Enrollment ID: I20070618000374 |
| Provider Name | Samuel Piedad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295732493 PECOS PAC ID: 5294826442 Enrollment ID: I20070802000396 |
| Provider Name | Cynthia Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254497 PECOS PAC ID: 4385943422 Enrollment ID: I20160425001253 |
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