Prana Internal Medicine PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

40764 Issued in CO

Legal business name

PRANA INTERNAL MEDICINE PLLC

Practice address

3292 S Bannock St
Englewood, CO 80110-2418

Phone

(303) 761-1045

Fax

(303) 761-1253

NPI assigned

Feb 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khurram Hussain, MD

Title

Manager

Phone

(303) 761-1045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1124206396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102418",
            "telephone_number": "303-761-1045",
            "fax_number": "303-761-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 S BANNOCK ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102418",
            "telephone_number": "303-761-1045",
            "fax_number": "303-761-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-761-1045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "40764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952368409",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.