Bauleth, Diogo Tavares

Bauleth, Diogo Tavares is an individual health care provider with primary practice located at 1375 E 19Th Ave , Denver CO 80218-1114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bauleth, Diogo Tavares can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 19Th Ave Denver CO 80218-1114
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40501 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0040501 Colorado

Profile Details

NPI number 1265404685
LBN Legal business name Bauleth, Diogo Tavares
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265404685 NPPES
Colorado Other 028985 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 82135797 KAISER COMMERCIAL NUMBER

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