Provider Demographics
NPI:1730348517
Name:H&A MEDICAL MANAGEMENT
Entity type:Organization
Organization Name:H&A MEDICAL MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KALATARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-254-7095
Mailing Address - Street 1:1006 ROBERTSON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3948
Mailing Address - Country:US
Mailing Address - Phone:970-482-3820
Mailing Address - Fax:
Practice Address - Street 1:1006 ROBERTSON ST STE 204
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3948
Practice Address - Country:US
Practice Address - Phone:970-482-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty