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NPI Code Detail

MEDICARE: DR. MARIANA HARASAWA MD

MEDICARE: DR. MARIANA HARASAWA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianDR0065005CO
2207WX0107XRetina Specialist (Ophthalmology) PhysicianDR.0065005CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1029387OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154785863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANA HARASAWA MD
Provider Business Mailing Address
First Line : 6148 DALLAS ST
Second Line :
City : DENVER
State : CO
Zip : 80238-4389
Country : US
Telephone Number : 720-409-7171
Fax Number :
Provider Business Practice Location Address
First Line : 55 MADISON ST STE 355
Second Line :
City : DENVER
State : CO
Zip : 80206-5429
Country : US
Telephone Number : 303-377-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 04/26/2023

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Directions to “ DR. MARIANA HARASAWA MD” Practice Location

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