MEDICARE: PANCHALI DIPANKAR

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528993599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PANCHALI DIPANKAR

Provider Business Mailing Address
First Line	:	2270 S UNIVERSITY BLVD APT 532
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S BEELER ST STE 110
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-1802
Country	:	US
Telephone Number	:	720-347-8559
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ PANCHALI DIPANKAR ” Practice Location

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