Medical Rtd Inc

LBN: Medical Rtd Inc
Medical Rtd Inc is an health care organization with primary practice located at 7615 W 38Th Ave Unit B-123, Wheat Ridge CO 80033-6172. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Rtd Inc can be contacted via phone (303) 432-2776, or through Datkhaeva, Tatyana I via phone (720) 540-7155.

Contact Information

Primary practice address
7615 W 38Th Ave Unit B-123 Wheat Ridge CO 80033-6172
Phone: (303) 432-2776
Fax: (303) 432-2216
Website:
Map and Directions
Authorized official contact:
Name: Datkhaeva, Tatyana I Doctor of Medicine (MD)
Phone: (720) 540-7155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45108 Colorado

Profile Details

NPI number 1912030743
LBN Legal business name Medical Rtd Inc
DBA Doing business as
Authorized official Datkhaeva, Tatyana I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912030743 NPPES
Colorado Other 45108 STATE LICENSE
Colorado MEDICAID 82709513 STATE LICENSE

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