Provider Demographics
NPI:1407891542
Name:SEBESTYEN, ELIZABETH H (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:H
Last Name:SEBESTYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-861-7001
Mailing Address - Fax:303-861-8624
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 6000
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-861-7001
Practice Address - Fax:303-861-8624
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO37218207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01976575Medicaid
G76704Medicare UPIN
COCO306058Medicare PIN
COP00996400Medicare PIN