Healthcare Provider Details

I. General information

NPI: 1215126982
Provider Name (Legal Business Name): KARLA LEA MAHARJAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLA L. MAHARJAN PA-C

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST SUITE 480
DENVER CO
80210-5847
US

IV. Provider business mailing address

2535 S DOWNING ST SUITE 480
DENVER CO
80210-5847
US

V. Phone/Fax

Practice location:
  • Phone: 303-493-5200
  • Fax: 720-570-2012
Mailing address:
  • Phone: 303-493-5200
  • Fax: 720-570-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2522
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0002522
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: