Provider Demographics
NPI:1811262975
Name:TREY, INNA OLEKSANDRIVNA (MD)
Entity type:Individual
Prefix:
First Name:INNA
Middle Name:OLEKSANDRIVNA
Last Name:TREY
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 1:7400 E ARAPAHOE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1390
Mailing Address - Country:US
Mailing Address - Phone:720-446-5190
Mailing Address - Fax:303-963-5065
Practice Address - Street 1:7400 E ARAPAHOE RD STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1390
Practice Address - Country:US
Practice Address - Phone:720-446-5190
Practice Address - Fax:303-963-5065
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.061221207Q00000X
CODR.0055834207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine