Healthcare Provider Details

I. General information

NPI: 1215376157
Provider Name (Legal Business Name): DANIEL KAUFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2777 MILE HIGH STADIUM CIR
DENVER CO
80211
US

IV. Provider business mailing address

2777 MILE HIGH STADIUM CIR
DENVER CO
80211-5222
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8822
  • Fax: 303-825-4022
Mailing address:
  • Phone: 303-825-8822
  • Fax: 303-825-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number256144
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0062183
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: