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Individual

MANDIP KC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3911 AMBROSIA ST STE 201, CASTLE ROCK, CO 80109-3888
(303) 788-8888
(844) 347-5158
Mailing address
3911 AMBROSIA ST STE 201, CASTLE ROCK, CO 80109-3888
(303) 788-8888
(844) 347-5158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60475
MN
207RG0100X
Gastroenterology Physician
Primary
DR.0068727
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/02/2013
Last updated
08/23/2023
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