MEDICARE: DR. CAROLYN HUANG 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	207V00000X	Obstetrics & Gynecology Physician	R76792	AZ
2	207V00000X	Obstetrics & Gynecology Physician	DR.0068340	CO

General Provider Information

NPI Number	:	1952891426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN HUANG MD

Provider Business Mailing Address
First Line	:	1960 N OGDEN ST STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3668
Country	:	US
Telephone Number	:	303-318-3540
Fax Number	:	303-318-2482

Provider Business Practice Location Address
First Line	:	1960 N OGDEN ST STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3668
Country	:	US
Telephone Number	:	303-318-3540
Fax Number	:	303-318-2482

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

Provider Enumeration Date	:	05/10/2018
Last Update Date	:	06/22/2022

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