Provider Demographics
NPI:1417006768
Name:ANCHERIL, TIFFANY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LYNN
Last Name:ANCHERIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6080 W 92ND AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2928
Mailing Address - Country:US
Mailing Address - Phone:303-427-0796
Mailing Address - Fax:303-429-9399
Practice Address - Street 1:3520 W 92ND AVE STE 104
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3304
Practice Address - Country:US
Practice Address - Phone:303-429-6600
Practice Address - Fax:720-235-4738
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO44611208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44611OtherLICENSE
TXH51761Medicare UPIN
TXH51761Medicare UPIN