Provider Demographics
NPI:1821262510
Name:FABBRI, STEFKA E (MD)
Entity Type:Individual
Prefix:
First Name:STEFKA
Middle Name:E
Last Name:FABBRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4508
Mailing Address - Country:US
Mailing Address - Phone:303-602-9730
Mailing Address - Fax:303-602-9734
Practice Address - Street 1:777 BANNOCK
Practice Address - Street 2:DENVER HEALTH MEDICAL CENTER, DEPT OF OB/GYN
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:404-509-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51438207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63382024Medicaid
CO63382024Medicaid