Provider Demographics
NPI:1134107477
Name:COLORADO HEALTH CARE SPECIALISTS PC
Entity Type:Organization
Organization Name:COLORADO HEALTH CARE SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VELKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-322-0104
Mailing Address - Street 1:935 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4728
Mailing Address - Country:US
Mailing Address - Phone:303-322-0104
Mailing Address - Fax:303-377-0205
Practice Address - Street 1:935 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4728
Practice Address - Country:US
Practice Address - Phone:303-322-0104
Practice Address - Fax:303-377-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04017778Medicaid
CO04017778Medicaid