Provider Demographics
NPI:1639903370
Name:BIOME GASTROENTEROLOGY AND DIGESTIVE HEALTH LLC
Entity type:Organization
Organization Name:BIOME GASTROENTEROLOGY AND DIGESTIVE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-315-1870
Mailing Address - Street 1:2001 S SHIELDS ST STE J3
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1837
Mailing Address - Country:US
Mailing Address - Phone:970-315-1870
Mailing Address - Fax:
Practice Address - Street 1:2001 S SHIELDS ST STE J3
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1837
Practice Address - Country:US
Practice Address - Phone:970-315-1870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty