Provider Demographics
NPI:1497845622
Name:MICHAEL T PARRA MD PC
Entity Type:Organization
Organization Name:MICHAEL T PARRA MD PC
Other - Org Name:COLORADO HEMATOLOGY ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-996-1847
Mailing Address - Street 1:401 W HAMPDEN PL
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2470
Mailing Address - Country:US
Mailing Address - Phone:303-733-9971
Mailing Address - Fax:303-733-4611
Practice Address - Street 1:401 W HAMPDEN PL
Practice Address - Street 2:SUITE 250
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2470
Practice Address - Country:US
Practice Address - Phone:303-733-9971
Practice Address - Fax:303-733-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO5383570001Medicare NSC
COC398908Medicare ID - Type UnspecifiedGROUP