Healthcare Provider Details

I. General information

NPI: 1962512764
Provider Name (Legal Business Name): ROBIN K YASUI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W 6TH AVE # MC3250
DENVER CO
80204-5182
US

IV. Provider business mailing address

301 W 6TH AVE # MC3250
DENVER CO
80204-5182
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8080
  • Fax: 303-602-8176
Mailing address:
  • Phone: 303-602-8080
  • Fax: 303-602-8176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberDR.0031326
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: