Provider Demographics
NPI:1023336815
Name:HARLEY, SZ-MIN (MD)
Entity type:Individual
Prefix:
First Name:SZ-MIN
Middle Name:
Last Name:HARLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SZ-MIN
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-690-2198
Mailing Address - Fax:303-369-1807
Practice Address - Street 1:1400 S POTOMAC ST
Practice Address - Street 2:#220
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4528
Practice Address - Country:US
Practice Address - Phone:303-690-2198
Practice Address - Fax:303-369-1807
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053873207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15679519Medicaid
CO344240YTUOMedicare PIN