# PRANA INTERNAL MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124206396
- **Authorized official:** DR. KHURRAM HUSSAIN MD (MANAGER)
- **Authorized official phone:** (303) 761-1045

## Contact information

- **Practice address:** 3292 S BANNOCK ST, ENGLEWOOD, CO 80110-2418
- **Practice address phone:** (303) 761-1045
- **Practice address fax:** (303) 761-1253
- **Mailing address:** 3292 S BANNOCK ST, ENGLEWOOD, CO 80110-2418
- **Mailing address phone:** (303) 761-1045
- **Mailing address fax:** (303) 761-1253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 40764 | CO | Yes |

## Other

- **Enumeration date:** 02/09/2008
- **Last updated:** 06/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1952368409 | INDIVIDUAL NPI | CO |