Active NPI 1710921663 Individual Practitioner Male Practitioner

Dr. Christopher S Bee , MD

Pathology - Anatomic Pathology & Clinical Pathology • Loveland, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Bee, MD is a certified Pathology - Anatomic Pathology & Clinical Pathology practicing in Loveland, CO. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Bee delivers high-quality medical care to the local community at 5802 WRIGHT DR.

Dr. Bee is affiliated with Summit Pathology and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, flow cytometry technique for dna or cell analysis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5802 Wright Dr

Loveland, CO 805388806

Telephone 9702120530

Associated Practice Facility / Clinic

🏢 Summit Pathology Facility NPI 1912966458

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Loveland, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +11.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

23 Specialists

Practicing in Loveland, CO (267 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bee (33 Years) 33 Yrs

Loveland Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	989	424	$135.15	$37.72
88341 Special stained specimen slides to examine tissue	627	87	$58.34	$27.62
88305 Pathology examination of tissue using a microscope, intermediate complexity	541	281	$129.46	$35.87
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	242	227	$235.45	$79.21
88341 Special stained specimen slides to examine tissue	132	18	$67.15	$33.97
88313 Special stained specimen slides to examine tissue including interpretation and report	111	53	$48.00	$11.66
85060 Blood smear interpretation by physician with written report	108	100	$72.00	$23.31
88342 Special stained specimen slides to examine tissue, initial procedure	101	93	$113.64	$34.96
88173 Evaluation of fine needle aspirate with interpretation and report	79	51	$167.86	$68.05
88307 Pathology examination of tissue using a microscope, moderately high complexity	78	55	$270.00	$97.46
88311 Preparation of tissue for examination by removing any calcium present	67	56	$40.00	$11.65
88172 Evaluation of fine needle aspirate	61	42	$100.00	$34.15
88313 Special stained specimen slides to examine tissue including interpretation and report	56	45	$55.57	$17.72
88304 Pathology examination of tissue using a microscope, moderately low complexity	50	30	$87.73	$18.47
88312 Special stained specimen slides to identify organisms including interpretation and report	49	37	$94.00	$25.79
88304 Pathology examination of tissue using a microscope, moderately low complexity	47	36	$90.69	$14.07
88331 Pathology examination of specimen during surgery, first tissue block	45	20	$187.20	$58.92
88112 Cell examination of specimen, selective cellular enhancement technique	44	24	$113.24	$34.07
88173 Evaluation of fine needle aspirate with interpretation and report	42	23	$164.60	$78.85
85097 Bone marrow, smear interpretation	39	38	$231.00	$46.99
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	38	35	$218.00	$58.85
88342 Special stained specimen slides to examine tissue, initial procedure	34	24	$111.88	$41.16
88112 Cell examination of specimen, selective cellular enhancement technique	33	30	$139.00	$26.70
88360 Microscopic genetic analysis of tumor	27	23	$168.30	$41.61
88312 Special stained specimen slides to identify organisms including interpretation and report	26	20	$98.31	$30.33
86325 Immunologic analysis technique on body fluid	24	21	$26.80	$17.32
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	24	13	$684.97	$180.38
88307 Pathology examination of tissue using a microscope, moderately high complexity	18	13	$270.00	$102.26
88172 Evaluation of fine needle aspirate	16	12	$100.00	$34.19
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	16	15	$235.45	$81.46
88365 Genetic sequencing localization, initial procedure	12	12	$157.00	$41.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	967	465	$129.97	$37.23
88341 Special stained specimen slides to examine tissue	870	114	$57.71	$28.29
88305 Pathology examination of tissue using a microscope, intermediate complexity	696	363	$129.97	$36.71
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	242	223	$235.45	$82.13
88313 Special stained specimen slides to examine tissue including interpretation and report	157	78	$48.00	$11.98
88342 Special stained specimen slides to examine tissue, initial procedure	139	124	$113.91	$35.01
85060 Blood smear interpretation by physician with written report	133	122	$72.00	$24.25
88173 Evaluation of fine needle aspirate with interpretation and report	81	57	$168.00	$69.95
88311 Preparation of tissue for examination by removing any calcium present	77	72	$40.00	$12.36
88307 Pathology examination of tissue using a microscope, moderately high complexity	71	58	$270.00	$82.46
88172 Evaluation of fine needle aspirate	63	47	$100.00	$35.50
88112 Cell examination of specimen, selective cellular enhancement technique	63	50	$127.31	$30.53
88341 Special stained specimen slides to examine tissue	56	12	$57.65	$28.10
85097 Bone marrow, smear interpretation	53	53	$231.00	$48.41
88112 Cell examination of specimen, selective cellular enhancement technique	52	49	$139.00	$27.55
88313 Special stained specimen slides to examine tissue including interpretation and report	49	40	$48.00	$12.00
88312 Special stained specimen slides to identify organisms including interpretation and report	39	32	$94.00	$26.52
88360 Microscopic genetic analysis of tumor	38	37	$169.00	$41.70
88312 Special stained specimen slides to identify organisms including interpretation and report	35	31	$95.60	$28.10
88331 Pathology examination of specimen during surgery, first tissue block	31	16	$195.00	$55.51
88304 Pathology examination of tissue using a microscope, moderately low complexity	31	28	$93.00	$11.02
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	29	22	$521.35	$182.51
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	28	26	$218.00	$61.50
86325 Immunologic analysis technique on body fluid	24	24	$26.80	$17.87
88342 Special stained specimen slides to examine tissue, initial procedure	19	18	$113.37	$40.30
88304 Pathology examination of tissue using a microscope, moderately low complexity	16	12	$91.06	$14.09
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	15	15	$235.45	$84.35
88300 Pathology examination of tissue using a microscope, limited examination	13	12	$34.00	$4.43
88333 Pathology cytologic examination of specimen during surgery, initial site	11	11	$174.00	$62.13
88365 Genetic sequencing localization, initial procedure	11	11	$157.00	$43.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	1,139	159	$57.65	$27.95
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,129	539	$130.43	$37.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	394	251	$130.00	$37.30
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	251	221	$235.45	$82.68
85060 Blood smear interpretation by physician with written report	187	168	$72.00	$24.37
88342 Special stained specimen slides to examine tissue, initial procedure	169	152	$114.00	$34.66
88313 Special stained specimen slides to examine tissue including interpretation and report	145	58	$48.00	$11.87
88173 Evaluation of fine needle aspirate with interpretation and report	107	72	$168.00	$69.24
88311 Preparation of tissue for examination by removing any calcium present	97	89	$40.00	$12.33
88172 Evaluation of fine needle aspirate	90	65	$100.00	$34.80
88307 Pathology examination of tissue using a microscope, moderately high complexity	81	67	$270.00	$82.41
88360 Microscopic genetic analysis of tumor	60	49	$169.00	$41.58
88112 Cell examination of specimen, selective cellular enhancement technique	58	53	$139.00	$27.75
88313 Special stained specimen slides to examine tissue including interpretation and report	53	47	$48.00	$12.04
85097 Bone marrow, smear interpretation	52	52	$231.00	$47.52
88331 Pathology examination of specimen during surgery, first tissue block	41	27	$195.00	$62.11
88312 Special stained specimen slides to identify organisms including interpretation and report	40	38	$94.00	$26.27
88304 Pathology examination of tissue using a microscope, moderately low complexity	36	33	$93.00	$11.09
86325 Immunologic analysis technique on body fluid	36	31	$26.80	$18.27
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	29	27	$218.00	$59.93
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	21	21	$235.45	$82.27
88365 Genetic sequencing localization, initial procedure	19	18	$157.00	$43.69
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	18	11	$54.00	$20.91
88333 Pathology cytologic examination of specimen during surgery, initial site	16	16	$174.00	$61.83
88309 Pathology examination of tissue using a microscope, high complexity	14	14	$398.00	$145.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	1,319	168	$57.65	$28.85
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,039	498	$130.00	$38.22
88305 Pathology examination of tissue using a microscope, intermediate complexity	406	262	$130.00	$38.17
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	199	177	$235.45	$84.25
88313 Special stained specimen slides to examine tissue including interpretation and report	186	79	$48.00	$12.23
85060 Blood smear interpretation by physician with written report	178	164	$72.00	$24.72
88342 Special stained specimen slides to examine tissue, initial procedure	174	162	$114.00	$35.65
88311 Preparation of tissue for examination by removing any calcium present	115	107	$40.00	$12.67
88341 Special stained specimen slides to examine tissue	102	14	$57.65	$29.14
88173 Evaluation of fine needle aspirate with interpretation and report	98	66	$168.00	$72.35
88307 Pathology examination of tissue using a microscope, moderately high complexity	76	58	$270.00	$84.86
85097 Bone marrow, smear interpretation	76	74	$231.00	$49.34
88172 Evaluation of fine needle aspirate	70	53	$100.00	$36.64
88112 Cell examination of specimen, selective cellular enhancement technique	61	53	$139.00	$28.08
88360 Microscopic genetic analysis of tumor	56	49	$169.00	$42.67
88313 Special stained specimen slides to examine tissue including interpretation and report	50	47	$48.00	$12.37
88312 Special stained specimen slides to identify organisms including interpretation and report	47	46	$94.00	$27.34
88304 Pathology examination of tissue using a microscope, moderately low complexity	42	37	$93.00	$11.68
86325 Immunologic analysis technique on body fluid	31	27	$26.80	$18.68
88331 Pathology examination of specimen during surgery, first tissue block	31	25	$195.00	$63.66
88365 Genetic sequencing localization, initial procedure	26	25	$157.00	$44.67
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	25	24	$218.00	$63.70
88312 Special stained specimen slides to identify organisms including interpretation and report	22	11	$94.00	$27.34
88333 Pathology cytologic examination of specimen during surgery, initial site	21	21	$174.00	$63.61
88342 Special stained specimen slides to examine tissue, initial procedure	21	15	$114.00	$35.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,146	515	$130.00	$39.82
88341 Special stained specimen slides to examine tissue	876	125	$60.87	$29.91
88305 Pathology examination of tissue using a microscope, intermediate complexity	420	258	$130.00	$39.65
88313 Special stained specimen slides to examine tissue including interpretation and report	169	74	$48.00	$12.60
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	140	130	$235.45	$87.03
85060 Blood smear interpretation by physician with written report	137	127	$72.00	$25.55
88342 Special stained specimen slides to examine tissue, initial procedure	118	113	$114.00	$37.20
88311 Preparation of tissue for examination by removing any calcium present	83	82	$40.00	$13.02
88173 Evaluation of fine needle aspirate with interpretation and report	76	53	$168.00	$75.15
85097 Bone marrow, smear interpretation	66	66	$231.00	$51.28
88172 Evaluation of fine needle aspirate	62	49	$100.00	$38.18
88112 Cell examination of specimen, selective cellular enhancement technique	55	49	$139.00	$29.24
88313 Special stained specimen slides to examine tissue including interpretation and report	53	48	$48.00	$12.80
88307 Pathology examination of tissue using a microscope, moderately high complexity	51	44	$270.00	$88.13
88312 Special stained specimen slides to identify organisms including interpretation and report	42	41	$94.00	$28.19
88304 Pathology examination of tissue using a microscope, moderately low complexity	37	33	$93.00	$12.02
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	35	12	$57.09	$23.47
88331 Pathology examination of specimen during surgery, first tissue block	34	23	$195.00	$66.51
88360 Microscopic genetic analysis of tumor	31	29	$169.00	$44.75
88312 Special stained specimen slides to identify organisms including interpretation and report	26	13	$94.00	$28.08
88333 Pathology cytologic examination of specimen during surgery, initial site	18	17	$174.00	$66.56
86325 Immunologic analysis technique on body fluid	15	15	$26.80	$19.34
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	14	14	$218.00	$65.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,049	551	$130.00	$39.67
88341 Special stained specimen slides to examine tissue	840	128	$57.65	$29.70
88305 Pathology examination of tissue using a microscope, intermediate complexity	440	206	$130.00	$39.57
88313 Special stained specimen slides to examine tissue including interpretation and report	168	92	$48.00	$12.67
88342 Special stained specimen slides to examine tissue, initial procedure	147	139	$114.00	$36.91
85060 Blood smear interpretation by physician with written report	115	105	$72.00	$25.38
88311 Preparation of tissue for examination by removing any calcium present	82	74	$40.00	$13.04
88312 Special stained specimen slides to identify organisms including interpretation and report	75	64	$94.00	$27.87
88112 Cell examination of specimen, selective cellular enhancement technique	75	57	$139.00	$29.32
88173 Evaluation of fine needle aspirate with interpretation and report	72	43	$168.00	$74.24
88172 Evaluation of fine needle aspirate	69	42	$100.00	$38.04
88307 Pathology examination of tissue using a microscope, moderately high complexity	66	60	$270.00	$87.30
88360 Microscopic genetic analysis of tumor	64	56	$169.00	$44.53
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	62	56	$235.45	$86.30
85097 Bone marrow, smear interpretation	57	56	$231.00	$51.42
88304 Pathology examination of tissue using a microscope, moderately low complexity	49	43	$93.00	$11.95
88331 Pathology examination of specimen during surgery, first tissue block	41	21	$195.00	$65.95
88312 Special stained specimen slides to identify organisms including interpretation and report	22	22	$94.00	$26.90
88313 Special stained specimen slides to examine tissue including interpretation and report	18	17	$48.00	$12.13
86325 Immunologic analysis technique on body fluid	16	14	$26.80	$18.82
88365 Genetic sequencing localization, initial procedure	16	15	$157.00	$45.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	880	130	$59.82	$29.57
88305 Pathology examination of tissue using a microscope, intermediate complexity	765	460	$130.00	$39.39
88313 Special stained specimen slides to examine tissue including interpretation and report	186	88	$48.00	$12.47
88342 Special stained specimen slides to examine tissue, initial procedure	147	142	$114.00	$37.07
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	143	134	$235.45	$84.73
85060 Blood smear interpretation by physician with written report	100	91	$72.00	$25.33
88172 Evaluation of fine needle aspirate	98	70	$100.00	$37.27
88173 Evaluation of fine needle aspirate with interpretation and report	98	70	$168.00	$73.11
88311 Preparation of tissue for examination by removing any calcium present	81	78	$40.00	$13.19
88112 Cell examination of specimen, selective cellular enhancement technique	80	59	$139.00	$29.22
85097 Bone marrow, smear interpretation	64	64	$231.00	$50.97
88312 Special stained specimen slides to identify organisms including interpretation and report	64	48	$94.00	$27.79
88307 Pathology examination of tissue using a microscope, moderately high complexity	63	56	$270.00	$87.01
88331 Pathology examination of specimen during surgery, first tissue block	56	29	$195.00	$65.98
88304 Pathology examination of tissue using a microscope, moderately low complexity	53	51	$93.00	$11.77
88360 Microscopic genetic analysis of tumor	46	45	$169.00	$46.33
86325 Immunologic analysis technique on body fluid	19	19	$26.80	$18.53
88309 Pathology examination of tissue using a microscope, high complexity	12	12	$398.00	$154.44
88188 Flow cytometry technique for dna or cell analysis, 9 to 15 markers	11	11	$218.00	$65.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	1,000	156	$57.65	$29.47
88305 Pathology examination of tissue using a microscope, intermediate complexity	929	529	$130.00	$39.44
88313 Special stained specimen slides to examine tissue including interpretation and report	319	146	$48.00	$12.44
88342 Special stained specimen slides to examine tissue, initial procedure	188	169	$114.00	$36.94
88311 Preparation of tissue for examination by removing any calcium present	151	136	$40.00	$13.16
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	123	115	$235.45	$83.98
85097 Bone marrow, smear interpretation	114	109	$175.58	$50.84
85060 Blood smear interpretation by physician with written report	106	104	$55.02	$25.25
88173 Evaluation of fine needle aspirate with interpretation and report	105	74	$168.00	$73.52
88172 Evaluation of fine needle aspirate	105	74	$100.00	$37.67
88112 Cell examination of specimen, selective cellular enhancement technique	91	70	$139.00	$28.75
88312 Special stained specimen slides to identify organisms including interpretation and report	87	77	$94.00	$28.05
88307 Pathology examination of tissue using a microscope, moderately high complexity	77	72	$270.00	$87.04
88304 Pathology examination of tissue using a microscope, moderately low complexity	63	59	$93.00	$12.09
88331 Pathology examination of specimen during surgery, first tissue block	41	26	$195.00	$65.38
88360 Microscopic genetic analysis of tumor	36	33	$169.00	$56.81
86325 Immunologic analysis technique on body fluid	24	23	$26.80	$18.46
88309 Pathology examination of tissue using a microscope, high complexity	21	20	$398.00	$153.85
88365 Genetic sequencing localization, initial procedure	18	13	$174.00	$45.81
88333 Pathology cytologic examination of specimen during surgery, initial site	13	12	$174.00	$65.73

Medical Specialties & State Licenses

CMS Verified: 2020-03-24

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License CO DR.0040921

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Anatomic Pathology & Clinical Pathology

NUCC Taxonomy Code: 207ZP0102X

State License WY 10594A

Hospital & Practice Group Affiliations

Summit Pathology

5802 Wright Dr, Loveland, CO 805388806

Phone: 9702120530

Summit Pathology

4021 Ave B, Scottsbluff, NE 693614602

Phone: 9702120530

Summit Pathology

2301 House Ave, Cheyenne, WY 820013177

Phone: 9702120530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

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Pathology - Dermatopathology

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Doctor of Medicine (M.D.)

Dr. Erin Baumgartner , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1215381611

Doctor of Medicine (M.D.)

Dr. Ross Barner , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1225052202

Doctor of Medicine (M.D.)

Dr. Jakub Stefka , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1245269000

Doctor of Medicine (M.D.)

Dr. Carlo Valentino , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1316195134

Doctor of Medicine (M.D.)

Dr. Michael Mcfall , DO

Pathology - Dermatopathology

NPI 1336580471

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location March 24, 2020

Registered at 5802 WRIGHT DR, LOVELAND, CO 805388806 (Tel: 9702120530)

📍

Updated Business Mailing Address March 24, 2020

Registered at 5802 WRIGHT DR, LOVELAND, CO 805388806 (Tel: 9702120530)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Pathology (License #10594A in WY)

✅

NPI Profile Active February 21, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2008

Registered at 2000 BOISE AVE, LOVELAND, CO 805385006 (Tel: 9706354126)

📍

Updated Business Mailing Address February 21, 2008

Registered at PO BOX 419, LOVELAND, CO 805390419

👤

Provider Name / Credentials Updated February 21, 2008

Recorded as CHRISTOPHER BEE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2008

Specialist (License #40921 in CO)

🟢

Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710921663

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2006

Last Update: March 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5802 Wright Dr

Loveland, CO 805388806

Phone: 9702120530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.