Individual
MR. PANKAJ NASHIKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2920 N CASCADE AVE, STE 200, COLORADO SPRINGS, CO 80907-6262
(719) 227-0027
(719) 955-4058
Mailing address
2920 N CASCADE AVE, STE 201, COLORADO SPRINGS, CO 80907-6262
(719) 227-0027
(719) 955-4058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54574838
—
CO
01
—
NAB66175
BLUE SHIELD
CO
01
—
P00384458
RAILROAD MEDICARE
CO
Enumeration date
12/15/2006
Last updated
04/19/2017
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