Healthcare Provider Details

I. General information

NPI: 1811501752
Provider Name (Legal Business Name): ISHITA TOPIWALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 E MONTVIEW BLVD UNIT 120
DENVER CO
80238-4284
US

IV. Provider business mailing address

1572 OSCEOLA ST
DENVER CO
80204-1456
US

V. Phone/Fax

Practice location:
  • Phone: 720-637-3500
  • Fax:
Mailing address:
  • Phone: 720-722-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN00205737
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: