Healthcare Provider Details
I. General information
NPI: 1336414788
Provider Name (Legal Business Name): EMILY MARIE SALUKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/19/2012
Last Update Date: 01/02/2024
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4567 E 9TH AVE
DENVER CO
80220-3908
US
IV. Provider business mailing address
835 S DOWNING ST
DENVER CO
80209-4435
US
V. Phone/Fax
- Phone: 303-320-2121
- Fax: 303-320-2121
- Phone: 404-990-1994
- Fax: 720-669-3470
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | DR.0061278 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | DR.0061278 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: