Healthcare Provider Details

I. General information

NPI: 1386600260
Provider Name (Legal Business Name): MICHAEL S PARANKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E. 19TH STREET SUITE 5300
DENVER CO
80218
US

IV. Provider business mailing address

1601 E. 19TH STREET SUITE 5300
DENVER CO
80218
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-7440
  • Fax:
Mailing address:
  • Phone: 303-839-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number39564
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: