Provider Demographics
NPI:1942298286
Name:ADAIR, OLIVIA V (MD)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:V
Last Name:ADAIR
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 1:101 W HAMPDEN AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2475
Mailing Address - Country:US
Mailing Address - Phone:303-789-1400
Mailing Address - Fax:303-789-1401
Practice Address - Street 1:101 W HAMPDEN AVE
Practice Address - Street 2:UNIT B
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2475
Practice Address - Country:US
Practice Address - Phone:303-789-1400
Practice Address - Fax:303-789-1401
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO30167207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01301670Medicaid
CO811514Medicare PIN
COC95074Medicare PIN
COF23999Medicare UPIN
CO01301670Medicaid