Healthcare Provider Details

I. General information

NPI: 1285809848
Provider Name (Legal Business Name): ANANT KUMAR MD ORTHOPEDICS AND SPINE SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 S BROADWAY SUITE 240
LITTLETON CO
80122-2632
US

IV. Provider business mailing address

7720 S BROADWAY SUITE 240
LITTLETON CO
80122-2632
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-5230
  • Fax: 303-788-5273
Mailing address:
  • Phone: 303-788-5230
  • Fax: 303-788-5273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number37762
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number37762
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number37762
License Number StateCO

VIII. Authorized Official

Name: ANANT KUMAR
Title or Position: MD
Credential:
Phone: 303-788-5230