Provider Demographics
NPI:1689757296
Name:RIFKIN, JULIA I (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:I
Last Name:RIFKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1721 E 19TH AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1251
Mailing Address - Country:US
Mailing Address - Phone:303-869-2160
Mailing Address - Fax:303-869-2544
Practice Address - Street 1:1721 E 19TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1251
Practice Address - Country:US
Practice Address - Phone:303-869-2160
Practice Address - Fax:303-869-2544
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO26186207RE0101X, 207R00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49280732Medicaid
CO01261866Medicaid
CO49280732Medicaid
COCO41313Medicare PIN
COE34691Medicare UPIN