MEDICARE: KARAN STEUART B.S. CACIII

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	3245S0500X	Children's Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1659777852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARAN STEUART B.S. CACIII

Provider Business Mailing Address
First Line	:	1780 S BELLAIRE ST STE 485
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4326
Country	:	US
Telephone Number	:	303-809-3341
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3109
Country	:	US
Telephone Number	:	303-781-7579
Fax Number	:

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

Provider Enumeration Date	:	11/15/2014
Last Update Date	:	01/22/2020

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