Organization
PRANA INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHURRAM HUSSAIN MD (MANAGER)
(303) 761-1045
Entity
Organization
Contact information
Practice address
3292 S BANNOCK ST, ENGLEWOOD, CO 80110-2418
(303) 761-1045
(303) 761-1253
Mailing address
3292 S BANNOCK ST, ENGLEWOOD, CO 80110-2418
(303) 761-1045
(303) 761-1253
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
40764
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952368409
INDIVIDUAL NPI
CO
Enumeration date
02/09/2008
Last updated
06/15/2010
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