Individual
DR. INDIRA MAHALINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3940 BROADLANDS LN, BROOMFIELD, CO 80020-9541
(303) 460-1589
(303) 466-0533
Mailing address
3940 BROADLANDS LN, BROOMFIELD, CO 80020-9541
(303) 460-1589
(303) 466-0533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37217
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22158383
—
CO
Enumeration date
12/12/2006
Last updated
07/08/2007
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