Provider Demographics
NPI:1649235748
Name:KOBITARY, MAJD (MD,FCCP)
Entity Type:Individual
Prefix:
First Name:MAJD
Middle Name:
Last Name:KOBITARY
Suffix:
Gender:M
Credentials:MD,FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:3100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1239
Mailing Address - Country:US
Mailing Address - Phone:303-863-0300
Mailing Address - Fax:303-863-7014
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:3100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1239
Practice Address - Country:US
Practice Address - Phone:303-863-0300
Practice Address - Fax:303-863-7014
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47537207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47086254Medicaid
COCO305285Medicare PIN