Provider Demographics
NPI:1578620167
Name:SOLLOD, HOWARD HERSHEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HERSHEY
Last Name:SOLLOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4770 E ILIFF AVE
Mailing Address - Street 2:# 221
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6061
Mailing Address - Country:US
Mailing Address - Phone:303-758-5093
Mailing Address - Fax:303-757-7994
Practice Address - Street 1:4770 E ILIFF AVE
Practice Address - Street 2:# 221
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6061
Practice Address - Country:US
Practice Address - Phone:303-758-5093
Practice Address - Fax:303-757-7994
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO193522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01193523Medicaid
COD28237Medicare UPIN
CO01193523Medicaid
CO85111Medicare ID - Type Unspecified