Provider Demographics
NPI:1417911298
Name:CAPRARO, PHILIPPE ANGELO (MD PC)
Entity Type:Individual
Prefix:DR
First Name:PHILIPPE
Middle Name:ANGELO
Last Name:CAPRARO
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 HALE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4020
Mailing Address - Country:US
Mailing Address - Phone:303-320-5566
Mailing Address - Fax:
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-320-5566
Practice Address - Fax:303-377-7067
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38450208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG90444Medicare UPIN
CO382908Medicare ID - Type UnspecifiedMEDICARE GROUP #