MEDICARE: JOHN T PAPPAS

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	207R00000X	Internal Medicine Physician	22514	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002538	OTHER		KAISER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912040494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN T PAPPAS

Provider Business Mailing Address
First Line	:	2500 S HAVANA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1618
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 S HAVANA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1618
Country	:	US
Telephone Number	:	303-338-4545
Fax Number	:

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	03/21/2011

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Directions to “ JOHN T PAPPAS ” Practice Location

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