Provider Demographics
NPI:1114028495
Name:ZINIS, YANI C (DO)
Entity Type:Individual
Prefix:
First Name:YANI
Middle Name:C
Last Name:ZINIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 HALE PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4052
Mailing Address - Country:US
Mailing Address - Phone:303-322-3863
Mailing Address - Fax:303-322-3528
Practice Address - Street 1:4700 HALE PKWY STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:303-322-3863
Practice Address - Fax:303-322-3528
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33860208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01338607Medicaid
COG03911Medicare UPIN
COC379048Medicare PIN