Provider Demographics
NPI:1942263173
Name:BELENKY, DAVID ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARNOLD
Last Name:BELENKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 E LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2607
Mailing Address - Country:US
Mailing Address - Phone:303-954-8531
Mailing Address - Fax:
Practice Address - Street 1:1713 E LAKE DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2607
Practice Address - Country:US
Practice Address - Phone:303-954-8531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000130432080N0001X
CAG197352080N0001X
CO211282080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine