Healthcare Provider Details

I. General information

NPI: 1811170129
Provider Name (Legal Business Name): ROBERTO GIANANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6748 N FRANKLIN AVE
LOVELAND CO
80538-1178
US

IV. Provider business mailing address

6748 N FRANKLIN AVE
LOVELAND CO
80538-1178
US

V. Phone/Fax

Practice location:
  • Phone: 970-635-1808
  • Fax:
Mailing address:
  • Phone: 970-635-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number42134
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: