Healthcare Provider Details

I. General information

NPI: 1477485514
Provider Name (Legal Business Name): BREAKTHRU RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12235 PINE BLUFFS WAY STE 101
PARKER CO
80134-1699
US

IV. Provider business mailing address

12235 PINE BLUFFS WAY STE 101
PARKER CO
80134-1699
US

V. Phone/Fax

Practice location:
  • Phone: 720-379-0656
  • Fax:
Mailing address:
  • Phone: 720-379-0656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARVIND CHAKRAVATHRY
Title or Position: MD
Credential: DO
Phone: 720-379-0656