Provider Demographics
NPI:1083881288
Name:MLADENOV, PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:MLADENOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 W 52ND AVE
Mailing Address - Street 2:UNIT I
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3747
Mailing Address - Country:US
Mailing Address - Phone:303-463-5941
Mailing Address - Fax:303-463-5951
Practice Address - Street 1:7380 W 52ND AVE
Practice Address - Street 2:UNIT I
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3747
Practice Address - Country:US
Practice Address - Phone:303-463-5941
Practice Address - Fax:303-463-5941
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCDR0000966207Q00000X
WAMD60153854207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine