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MAGNOLIA MEDICAL GROUP NPI 1003672619


NPI Information

NPI: 1003672619
Provider Name: MAGNOLIA MEDICAL GROUP
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1490 N LAFAYETTE ST STE 104
DENVER, CO
ZIP 80218
Phone: (303) 209-5115
Get Directions

MAGNOLIA MEDICAL GROUP is an addiction medicine internal medicine in Denver, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. MAGNOLIA MEDICAL GROUP NPI is 1003672619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1490 N LAFAYETTE ST STE 104
DENVER, CO
ZIP 80218-391
Phone: (303) 209-5115

The provider's authorized official is Pradeep Rai .
The authorized official title is Director and has the following contact phone number (303) 209-5115.

The enumeration date for this NPI number is 2/22/2024 and was last updated on 2/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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