Healthcare Provider Details

I. General information

NPI: 1295121002
Provider Name (Legal Business Name): HARRIET HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4660
  • Fax: 303-602-4714
Mailing address:
  • Phone: 303-602-4660
  • Fax: 303-602-4714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0060945
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: