Provider Demographics
NPI:1851611800
Name:HOLDEN, SAMANTHA K (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:K
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12469 E 17TH PLACE
Mailing Address - Street 2:MAIL STOP F429
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2521
Mailing Address - Country:US
Mailing Address - Phone:303-724-8225
Mailing Address - Fax:303-724-4082
Practice Address - Street 1:1635 AURORA COURT
Practice Address - Street 2:MAIL STOP F727
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-848-2080
Practice Address - Fax:720-848-0117
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125:057757207R00000X
CODR.00532402084N0400X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology