Provider Demographics
NPI:1396444030
Name:CLINICONCALL.ORG
Entity type:Organization
Organization Name:CLINICONCALL.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALATARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-254-7095
Mailing Address - Street 1:6300 E HAMPDEN AV
Mailing Address - Street 2:UNIT C #322
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7678
Mailing Address - Country:US
Mailing Address - Phone:720-254-7095
Mailing Address - Fax:
Practice Address - Street 1:9624 ASPEN HILL CIR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5493
Practice Address - Country:US
Practice Address - Phone:720-254-7095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty