Healthcare Provider Details

I. General information

NPI: 1174485296
Provider Name (Legal Business Name): PROHEALTH ONE PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 E TUFTS AVE STE 510
DENVER CO
80237-2580
US

IV. Provider business mailing address

8181 E TUFTS AVE STE 510
DENVER CO
80237-2580
US

V. Phone/Fax

Practice location:
  • Phone: 720-833-7715
  • Fax:
Mailing address:
  • Phone: 720-833-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: PRADEEP RAI
Title or Position: OWNER
Credential: MD
Phone: 646-713-6033