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Individual

DR. SACHIN BALKRISHNA WANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2010004029
MO
207RG0100X
Gastroenterology Physician
Primary
50305
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53952073
CO
Enumeration date
05/16/2007
Last updated
06/11/2013
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