Provider Demographics
NPI:1205261864
Name:COLORADO FAMILY MEDICINE & GERIATRICS PC
Entity type:Organization
Organization Name:COLORADO FAMILY MEDICINE & GERIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GURI
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-452-9577
Mailing Address - Street 1:8380 ZUNI ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221
Mailing Address - Country:US
Mailing Address - Phone:303-452-9577
Mailing Address - Fax:303-452-9890
Practice Address - Street 1:8380 ZUNI ST STE 305
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-4689
Practice Address - Country:US
Practice Address - Phone:303-452-9577
Practice Address - Fax:303-452-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27672261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care