Provider Demographics
NPI:1922260231
Name:GUELI, SARAH LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:GUELI
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 1:575 RIVERGATE LANE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7487
Mailing Address - Country:US
Mailing Address - Phone:970-247-3537
Mailing Address - Fax:
Practice Address - Street 1:575 RIVERGATE LANE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7487
Practice Address - Country:US
Practice Address - Phone:970-247-3537
Practice Address - Fax:970-247-1254
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60267072207L00000X
CODR.0058977207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01336321OtherRAILROAD MEDICARE
COP01900015OtherRAILROAD MEDICARE
NY03625867Medicaid