Healthcare Provider Details
I. General information
NPI: 1861547572
Provider Name (Legal Business Name): GIRISH ANAND PARANJAPE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 JACKSON ST
DENVER CO
80206-2762
US
IV. Provider business mailing address
2664 S KRAMERIA ST
DENVER CO
80222-7104
US
V. Phone/Fax
- Phone: 720-945-8800
- Fax: 303-270-2828
- Phone: 303-316-7852
- Fax: 303-466-6863
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | DR.0036450 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | 36450 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: