MEDICARE: DR. BETTY A. PETRAK-RON M.D.

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	41515	AL
2	207R00000X	Internal Medicine Physician	33051	NE
3	207R00000X	Internal Medicine Physician	C0051	KY
4	207R00000X	Internal Medicine Physician	13944C	WY
5	207R00000X	Internal Medicine Physician	36.154474	IL
6	207R00000X	Internal Medicine Physician	110515	GA
7	207R00000X	Internal Medicine Physician	62205	AZ
8	207K00000X	Allergy & Immunology Physician	CDRH.0038190	CO
9	207R00000X	Internal Medicine Physician	U6408	TX
10	207R00000X	Internal Medicine Physician	ME178194	FL
11	207R00000X	Internal Medicine Physician	EMC0000670	MI
12	207R00000X	Internal Medicine Physician	IMLC.MD61110254	WA
13	207R00000X	Internal Medicine Physician	62412	TN
14	207R00000X	Internal Medicine Physician	MD492952C	PA
15	207R00000X	Internal Medicine Physician	CDRH.0038190	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750329744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTY A. PETRAK-RON M.D.

Provider Business Mailing Address
First Line	:	1475 DELGANY ST UNIT 701
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1779
Country	:	US
Telephone Number	:	303-619-2137
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 DELGANY ST UNIT 701
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1779
Country	:	US
Telephone Number	:	303-619-2137
Fax Number	:

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	01/13/2026

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