Healthcare Provider Details

I. General information

NPI: 1245674357
Provider Name (Legal Business Name): ADAM SANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE STE 6300
DENVER CO
80218-1255
US

IV. Provider business mailing address

8490 E. CRESCENT PKWY STE 380
GREENWOOD VILLAGE CO
80111-2815
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-5669
  • Fax: 303-839-1216
Mailing address:
  • Phone: 303-957-1310
  • Fax: 303-761-4252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.00066729
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: