Provider Demographics
NPI:1689624751
Name:STREUBEL, ANUSHA HEMACHANDRA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANUSHA
Middle Name:HEMACHANDRA
Last Name:STREUBEL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ANUSHA
Other - Middle Name:HIRANTHI
Other - Last Name:HEMACHANDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1056 E 19TH AVE # B070
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1007
Mailing Address - Country:US
Mailing Address - Phone:303-861-6868
Mailing Address - Fax:
Practice Address - Street 1:1056 E 19TH AVE # B070
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1007
Practice Address - Country:US
Practice Address - Phone:303-861-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD59651208000000X
CO459712080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404973000Medicaid
MD404973000Medicaid
MDKR48I889Medicare ID - Type Unspecified