Healthcare Provider Details

I. General information

NPI: 1699875955
Provider Name (Legal Business Name): SUMAN S MORARKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 S JAMAICA CT #206
AURORA CO
80014
US

IV. Provider business mailing address

16782 E PRENTICE CIRCLE
CENTENNIAL CO
80015
US

V. Phone/Fax

Practice location:
  • Phone: 303-378-5770
  • Fax: 303-695-7973
Mailing address:
  • Phone: 303-378-5770
  • Fax: 303-695-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number28787
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: