Healthcare Provider Details

I. General information

NPI: 1982089512
Provider Name (Legal Business Name): PALADINA HEALTH MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 WEWATTA ST
DENVER CO
80202-6173
US

IV. Provider business mailing address

1551 WEWATTA ST
DENVER CO
80202-6173
US

V. Phone/Fax

Practice location:
  • Phone: 866-808-6005
  • Fax:
Mailing address:
  • Phone: 866-808-6005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER BAJAJ
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 866-808-6005