Organization
CENTER POINTE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAIJU ABDULLA MD (OWNER/MEDICAL DIRECTOR)
(719) 390-4335
Entity
Organization
Contact information
Practice address
37 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 390-4335
(719) 390-4566
Mailing address
37 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 390-4335
(719) 390-4566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06501575
—
CO
05
—
15622819
—
CO
Enumeration date
04/04/2013
Last updated
05/03/2021
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