Healthcare Provider Details

I. General information

NPI: 1932034311
Provider Name (Legal Business Name): ROCKY MOUNTAIN CANCER CENTERS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INDIANA ST STE 200
GOLDEN CO
80401-5027
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE CO
80111-4758
US

V. Phone/Fax

Practice location:
  • Phone: 303-430-2700
  • Fax: 303-430-2770
Mailing address:
  • Phone: 303-930-7803
  • Fax: 303-930-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MANOJKUMAR BUPATHI
Title or Position: PRACTICE PRESIDENT
Credential:
Phone: 303-730-4700