Medical Rtd Inc in Wheat Ridge - Family Medicine

Medical Rtd Inc - NPI 1912030743

Medical Rtd Inc is a Family Medicine in Wheat Ridge, Colorado. Medical Rtd Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Medical Rtd Inc is 1912030743. The last update date is 2023-03-07.

Medical Rtd Inc's current location address is 7615 W 38th Ave, Wheat Ridge, Colorado. You can contact this provider via phone number 7205407155 and fax number 7205407155. The mailing address for Medical Rtd Inc is 7615 W 38th Ave, Wheat Ridge, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Rtd Inc
Address 7615 W 38th Ave, Wheat Ridge, Colorado
Phone Number 7205407155
Fax Number 7205407155
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PHYS
Authorized Official Name Datkhaeva I Tatyana
Credentials MD
Telephone Number 7205407155

NPI Number Detail

NPI Number 1912030743
Provider Enumeration Date 2007-03-13
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 7615 W 38th Ave
City Wheat Ridge
State Colorado (CO)
Post Code 80033
Phone Number 7205407155
Fax Number 7205407155

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 45108
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45108 CO STATE LICENSE
82709513 CO --

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FAQs about Medical Rtd Inc

What is the unique 10-digit identification code issued to Medical Rtd Inc by the Centers for Medicare & Medicaid Services?

The Medical Rtd Inc has been assigned the NPI (National Provider Identifier) 1912030743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Medical Rtd Inc located?

The Medical Rtd Inc is located at 7615 W 38Th Ave, Wheat Ridge, CO 80033.

What is Medical Rtd Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Medical Rtd Inc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912030743 to Medical Rtd Inc?

The Centers for Medicare & Medicaid Services assigned the 1912030743 to Medical Rtd Inc on 2007-03-13.

As of what date were the details related to Medical Rtd Inc most recently updated or revised?

The information pertaining to Medical Rtd Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.

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