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1164604542

NPI Code Detail

MEDICARE: DR. SHARON WING-YI KWAN M.D.

MEDICARE: DR. SHARON WING-YI KWAN M.D.

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
1	2085R0204X	Vascular & Interventional Radiology Physician	DR.0069348	CO
2	2085R0202X	Diagnostic Radiology Physician	DR.0069348	CO
3	2085R0202X	Diagnostic Radiology Physician	A99967	CA
4	2085R0204X	Vascular & Interventional Radiology Physician	11785660-1205	UT
5	2085R0202X	Diagnostic Radiology Physician	11785660-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	029421	OTHER	CO	KAISER COMMERCIAL NUMBER
3	0283457	OTHER		L&I
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164604542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON WING-YI KWAN M.D.

Provider Business Mailing Address
First Line	:	10350 E DAKOTA AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-1314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 N FRANKLIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5437
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	04/27/2026

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Directions to “ DR. SHARON WING-YI KWAN M.D.” Practice Location

Language	Start Address	Practice Location

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