MEDICARE: MICHAEL CARL CHEN 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
1	207W00000X	Ophthalmology Physician	MD456377	PA
2	207W00000X	Ophthalmology Physician	A109505	CA
3	207W00000X	Ophthalmology Physician	DR.0067286	CO

General Provider Information

NPI Number	:	1679731590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CARL CHEN MD

Provider Business Mailing Address
First Line	:	777 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-436-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-4507
Country	:	US
Telephone Number	:	303-436-6000
Fax Number	:

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

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	06/10/2026

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Directions to “ MICHAEL CARL CHEN MD” Practice Location

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