Provider Demographics
NPI:1437212404
Name:BAROLAT-ROMANA, GIANCARLO (MD)
Entity Type:Individual
Prefix:DR
First Name:GIANCARLO
Middle Name:
Last Name:BAROLAT-ROMANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GIANCARLO
Other - Middle Name:
Other - Last Name:BAROLAT-ROMANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
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:303-865-7800
Mailing Address - Fax:303-865-7804
Practice Address - Street 1:1721 E 19TH AVE
Practice Address - Street 2:#434
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1251
Practice Address - Country:US
Practice Address - Phone:303-865-7800
Practice Address - Fax:303-865-7804
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMD43166174400000X
CO43166207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO204208947OtherBUSINESS TAX ID