MEDICARE: DR. ASA KAI MAROKUS 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	2084P0800X	Psychiatry Physician	47675	CO
2	2084P0804X	Child & Adolescent Psychiatry Physician	47675	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	47675	OTHER	CO	PHYSICIAN LICENSE

General Provider Information

NPI Number	:	1659576569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASA KAI MAROKUS M.D.

Provider Business Mailing Address
First Line	:	2150 W 29TH AVE STE 110
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5374
Country	:	US
Telephone Number	:	303-717-3175
Fax Number	:	303-889-5197

Provider Business Practice Location Address
First Line	:	2150 W 29TH AVE
Second Line	:	SUITE 110
City	:	DENVER
State	:	CO
Zip	:	80211-3844
Country	:	US
Telephone Number	:	303-335-9334
Fax Number	:	303-889-5197

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	05/01/2026

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