Organization
PEAK GASTROENTEROLOGY ASSOCIATES
Active
Other names
Bhaktasharan C Patel MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
SMITA PATEL (ADMINISTRATOR)
(719) 310-6731
Entity
Organization
Contact information
Practice address
2920 N CASCADE AVE STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 955-0986
Mailing address
2920 N CASCADE AVE STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 955-0986
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
32410
CO
207RG0100X
Gastroenterology Physician
37170
CO
207RG0100X
Gastroenterology Physician
Primary
39991
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04018834
—
CO
01
—
PA648080
BCBS
CO
Enumeration date
09/11/2006
Last updated
10/11/2019
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