Provider Demographics
NPI:1437243862
Name:GELFAND, KAREN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:GELFAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 BROOKHAVEN CIR E APT B
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1185
Mailing Address - Country:US
Mailing Address - Phone:505-793-6329
Mailing Address - Fax:
Practice Address - Street 1:1610 29TH AVENUE PL STE 101
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6800
Practice Address - Country:US
Practice Address - Phone:970-356-2600
Practice Address - Fax:970-356-2633
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0057239208000000X
NM2004-0482208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM14083884Medicaid