Organization
SUMMIT MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATHEEP ARORA M.D (PRESIDENT)
(719) 630-1006
Entity
Organization
Contact information
Practice address
1380 E FILLMORE ST, 100, COLORADO SPRINGS, CO 80907-6460
(719) 630-1006
(719) 630-0688
Mailing address
1380 E FILLMORE ST, 100, COLORADO SPRINGS, CO 80907-6460
(719) 630-1006
(719) 630-0688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000
CO
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82327076
—
CO
01
—
CM 5708
MEDICARE #
CO
Enumeration date
06/10/2005
Last updated
05/04/2023
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