Healthcare Provider Details

I. General information

NPI: 1003565060
Provider Name (Legal Business Name): VALERIE SOPHIA CHALOKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE STE 360
ENGLEWOOD CO
80113-3877
US

IV. Provider business mailing address

499 E HAMPDEN AVE STE 360
ENGLEWOOD CO
80113-3877
US

V. Phone/Fax

Practice location:
  • Phone: 303-762-3450
  • Fax: 303-761-0553
Mailing address:
  • Phone: 303-762-3450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberTL.0009762
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: