MEDICARE: RAKEL SALAMANDER 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	2084P0800X	Psychiatry Physician	MD493194C	PA
2	2084P0800X	Psychiatry Physician	036175167	IL
3	2084P0800X	Psychiatry Physician	01097725A	IN
4	2084P0800X	Psychiatry Physician	DR.0066405	CO

General Provider Information

NPI Number	:	1629574611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKEL SALAMANDER MD

Provider Business Mailing Address
First Line	:	777 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-602-6890
Fax Number	:

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

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	06/17/2026

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Directions to “ RAKEL SALAMANDER MD” Practice Location

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