GULZAR S FIDAI

UPPER SAN JUAN HEALTH SERVICE DISTRICT

Dr GULZAR S FIDAI is a female medical professional, specializing in Internal Medicine. She graduated in 1984.

Contact

UPPER SAN JUAN HEALTH SERVICE DISTRICT

95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
811478329

Tel: 9707313700

GULZAR S FIDAI Information

Npi 1851398218
Pac Id 9133028749
Professional Enrollment Id I20180831000544
Last Name FIDAI
First Name GULZAR
Middle Name S
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UPPER SAN JUAN HEALTH SERVICE DISTRICT
Group Practice Pac Id 2769571892
Number Of Group Practice Members 12
Line 1 Street Address 95 S PAGOSA BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAGOSA SPRINGS
State CO
Zip Code 811478329
Phone Number 9707313700
Hospital Affiliation Ccn 1 060008
Hospital Affiliation Lbn 1 SAN LUIS VALLEY HEALTH
Hospital Affiliation Ccn 2 061328
Hospital Affiliation Lbn 2 UPPER SAN JUAN HEALTH SERVICE DISTRICT
Hospital Affiliation Ccn 3 140030
Hospital Affiliation Lbn 3 ADVOCATE SHERMAN HOSPITAL
Hospital Affiliation Ccn 4 061308
Hospital Affiliation Lbn 4 SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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