Healthcare Provider Details
I. General information
NPI: 1184385999
Provider Name (Legal Business Name): INPATIENT CONSULTANTS OF COLORADO, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 E HAMPDEN AVE
ENGLEWOOD CO
80113-2702
US
IV. Provider business mailing address
1643 NW 136TH AVE. BLDG. H SUITE 100
SUNRISE FL
33323-2857
US
V. Phone/Fax
- Phone: 303-788-8838
- Fax:
- Phone: 954-377-2909
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADA
XIOMARA
ARAGONESES
Title or Position: PROVIDER ENROLLMENT DIRECTOR
Credential: MBA
Phone: 954-377-2909