MEDICARE: UTKISA INPATIENT SERVICES

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	208M00000X	Hospitalist Physician	44070	CO

General Provider Information

NPI Number	:	1962730879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTKISA INPATIENT SERVICES

Provider Business Mailing Address
First Line	:	16812 E CALEY PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5038
Country	:	US
Telephone Number	:	303-470-0163
Fax Number	:

Provider Business Practice Location Address
First Line	:	16812 E CALEY PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5038
Country	:	US
Telephone Number	:	303-470-0163
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAILENDRA KUMAR SINGH
Credential	:	M.D.
Telephone Number	:	303-335-8111

Provider Enumeration Date	:	12/04/2009
Last Update Date	:	04/03/2012

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