Provider Demographics
NPI:1083923973
Name:DENVER PEDIATRICS
Entity Type:Organization
Organization Name:DENVER PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GITA
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SIKAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-920-9000
Mailing Address - Street 1:9141 GRANT ST STE 100
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4318
Mailing Address - Country:US
Mailing Address - Phone:303-920-9000
Mailing Address - Fax:303-920-4000
Practice Address - Street 1:9141 GRANT ST STE 100
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4318
Practice Address - Country:US
Practice Address - Phone:303-920-9000
Practice Address - Fax:303-920-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23342208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01233428Medicaid