Provider Demographics
NPI:1336844315
Name:UNABRIDGEDMD PLLC
Entity Type:Organization
Organization Name:UNABRIDGEDMD PLLC
Other - Org Name:UNABRIDGEDMD OF RHEUMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLE
Authorized Official - Middle Name:AMIGUES,
Authorized Official - Last Name:MD, MS, RHMSUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:130-373-1400
Mailing Address - Street 1:700 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5250
Mailing Address - Country:US
Mailing Address - Phone:347-306-3373
Mailing Address - Fax:303-578-3135
Practice Address - Street 1:4155 E JEWELL AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4504
Practice Address - Country:US
Practice Address - Phone:303-731-4006
Practice Address - Fax:303-578-3135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty