Provider Demographics
NPI:1811974736
Name:SOBEL, DAVID L (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:SOBEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:799 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2700
Mailing Address - Country:US
Mailing Address - Phone:303-733-8848
Mailing Address - Fax:303-733-0106
Practice Address - Street 1:799 E HAMPDEN AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2700
Practice Address - Country:US
Practice Address - Phone:303-733-8848
Practice Address - Fax:303-733-0106
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2018-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036114166208800000X
CO47367208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19926359Medicaid
IL036114166Medicaid
CO0823860001Medicare NSC
CO19926359Medicaid