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NPI Code Detail

MEDICARE: DR. HIMAL SHRESTHA

MEDICARE: DR. HIMAL SHRESTHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianDR.0056833CO
22084P0800XPsychiatry PhysicianDR.0056883CO

General Provider Information

NPI Number : 1023308061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIMAL SHRESTHA
Provider Business Mailing Address
First Line : 4851 INDEPENDENCE ST
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6715
Country : US
Telephone Number : 303-425-0300
Fax Number : 303-432-5071
Provider Business Practice Location Address
First Line : 12055 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1506
Country : US
Telephone Number : 303-425-0300
Fax Number : 303-432-5071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 07/12/2016

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Directions to “ DR. HIMAL SHRESTHA ” Practice Location

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