Individual
SUSAN DENISE GHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 RIVERGATE UNIT 204, DURANGO, CO 81301-7490
(970) 403-1340
(970) 403-1341
Mailing address
575 RIVERGATE, SUITE 204, DURANGO, CO 81301-7487
(970) 403-1340
(970) 403-1341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42057
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75385830
—
CO
Enumeration date
10/04/2006
Last updated
03/07/2023
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