Individual
DR. LINUS NGANTE AKAMANGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 ACADEMY CIR STE A, COLORADO SPRINGS, CO 80909-1676
(719) 645-8137
(719) 344-9768
Mailing address
555 E COSTILLA ST, COLORADO SPRINGS, CO 80903-3764
(719) 633-8956
(719) 547-6686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CDRH.0058057
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000584234
BCBS
IN
01
—
000000604390
BCBS
IN
05
—
200923140
—
IN
Enumeration date
08/05/2007
Last updated
06/25/2020
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