Elena M Chebanova, Md, Pc | |
9450 E Mississippi Ave # B Denver CO 80247-2307 | |
(303) 696-1395 | |
(303) 696-1606 |
Full Name | Elena M Chebanova, Md, Pc |
---|---|
Speciality | Clinic/center |
Location | 9450 E Mississippi Ave # B, Denver, Colorado |
Authorized Official Name and Position | Elena M Chebanova (OWNER/MD) |
Authorized Official Contact | 3036961395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elena M Chebanova, Md, Pc 9450 E Mississippi Ave # B Denver CO 80247-2307 Ph: (303) 696-1395 | Elena M Chebanova, Md, Pc 9450 E Mississippi Ave # B Denver CO 80247-2307 Ph: (303) 696-1395 |
NPI Number | 1629262217 |
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Provider Enumeration Date | 08/28/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629262217 | NPI | - | NPPES |
04021796 | Medicaid | CO | |
C17631 | Other | CO | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 35300 (Colorado) | Primary |
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