Healthcare Provider Details

I. General information

NPI: 1851326425
Provider Name (Legal Business Name): DANIT TALMI CUNNINGHAM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17631 LAKE SIDE DR
MONUMENT CO
80132-7503
US

IV. Provider business mailing address

2330 UTAH AVE STE 200
EL SEGUNDO CA
90245-4817
US

V. Phone/Fax

Practice location:
  • Phone: 424-290-8004
  • Fax: 424-290-8004
Mailing address:
  • Phone: 424-290-8004
  • Fax: 424-290-8004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD61038
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number45712
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: