Provider Demographics
NPI:1437121613
Name:GULEVICH, STEVEN J (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:GULEVICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13111 E BRIARWOOD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3846
Mailing Address - Country:US
Mailing Address - Phone:303-493-1922
Mailing Address - Fax:303-493-1926
Practice Address - Street 1:13111 E BRIARWOOD AVE STE 200
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3846
Practice Address - Country:US
Practice Address - Phone:303-493-1922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO320942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
130013276OtherRAILROAD MEDICARE
CO01320944Medicaid
KS053165GUMedicare ID - Type Unspecified
130013276OtherRAILROAD MEDICARE
COE36015Medicare UPIN