MEDICARE: DR. SARA VATAN MD

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
1	207R00000X	Internal Medicine Physician	MD178862	OR
2	207R00000X	Internal Medicine Physician	57917	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	029564	OTHER	CO	KAISER COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215348222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA VATAN MD

Provider Business Mailing Address
First Line	:	4700 E ILIFF AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6025
Country	:	US
Telephone Number	:	303-946-3322
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 E EVANS AVE STE 101
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5320
Country	:	US
Telephone Number	:	303-335-0062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	05/10/2024

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Directions to “ DR. SARA VATAN MD” Practice Location

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