Healthcare Provider Details

I. General information

NPI: 1841604790
Provider Name (Legal Business Name): DILASHA KATWAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 FOXTRAIL DR STE 200
LOVELAND CO
80538-9089
US

IV. Provider business mailing address

2500 ROCKY MOUNTAIN AVE # 310
LOVELAND CO
80538-9004
US

V. Phone/Fax

Practice location:
  • Phone: 970-224-3636
  • Fax:
Mailing address:
  • Phone: 970-224-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberDR.0071594
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD045206
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: