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NPI Code Detail

MEDICARE: DR. APARNA KOMATINENI M.D

MEDICARE: DR. APARNA KOMATINENI M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician50282CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992826424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. APARNA KOMATINENI M.D
Provider Business Mailing Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-493-9936
Provider Business Practice Location Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-493-9936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 09/18/2023

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