Healthcare Provider Details

I. General information

NPI: 1952713109
Provider Name (Legal Business Name): MIKELL MARGARET YUHASZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST # MC0024
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST # MC0024
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4115
  • Fax:
Mailing address:
  • Phone: 303-602-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number292413
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberDR.0066790
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: