Provider Demographics
NPI:1275514309
Name:HOLLANDER, TAMEIRA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMEIRA
Middle Name:LEE
Last Name:HOLLANDER
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 1:16280 W 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7413
Mailing Address - Country:US
Mailing Address - Phone:720-898-1110
Mailing Address - Fax:720-898-1113
Practice Address - Street 1:16280 W 64TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-7413
Practice Address - Country:US
Practice Address - Phone:720-898-1110
Practice Address - Fax:720-898-1113
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37259173000000X
CODR.0037259207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO68121547Medicaid
CO68121547Medicaid
COCO303374Medicare PIN
CO327365YLFEMedicare PIN
COC802273Medicare PIN