| Tks Clinical Services LLC | |
|
4809 Argonne St Ste 225 Denver CO 80249-6801 | |
| (720) 300-0427 | |
| (720) 583-2110 |
| Full Name | Tks Clinical Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4809 Argonne St Ste 225, Denver, Colorado |
| Authorized Official Name and Position | Alice Soremekum (OWNER) |
| Authorized Official Contact | 7203000427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tks Clinical Services LLC 4809 Argonne St Ste 225 Denver CO 80249-6801 Ph: (720) 300-0427 | Tks Clinical Services LLC 4809 Argonne St Ste 225 Denver CO 80249-6801 Ph: (720) 300-0427 |
| NPI Number | 1073384962 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 5092155150 |
|---|---|
| Medicare Enrollment ID | O20240507000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073384962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013969104 PECOS PAC ID: 1658274642 Enrollment ID: I20120323000270 |
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