Healthcare Provider Details

I. General information

NPI: 1235458191
Provider Name (Legal Business Name): OYA MUNEVVER ANDACOGLU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US

IV. Provider business mailing address

1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-2155
  • Fax: 720-754-2106
Mailing address:
  • Phone: 720-754-2155
  • Fax: 720-754-2106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number58018-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number0074236
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: