MEDICARE: DR. DAVID ARNOLD BELENKY 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	2080N0001X	Neonatal-Perinatal Medicine Physician	MD00013043	WA
2	2080N0001X	Neonatal-Perinatal Medicine Physician	G19735	CA
3	2080N0001X	Neonatal-Perinatal Medicine Physician	21128	CO

General Provider Information

NPI Number	:	1942263173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ARNOLD BELENKY M.D.

Provider Business Mailing Address
First Line	:	1713 E LAKE DR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-2607
Country	:	US
Telephone Number	:	303-954-8531
Fax Number	:

Provider Business Practice Location Address
First Line	:	1713 E LAKE DR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80121-2607
Country	:	US
Telephone Number	:	303-954-8531
Fax Number	:

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	05/26/2011

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