Provider Demographics
NPI:1881762862
Name:ARIEL F. SORIANO MD PC
Entity type:Organization
Organization Name:ARIEL F. SORIANO MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLO PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-283-8696
Mailing Address - Street 1:PO BOX 151029
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-9029
Mailing Address - Country:US
Mailing Address - Phone:720-283-8696
Mailing Address - Fax:720-283-3819
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:SUITE 255
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:720-283-8696
Practice Address - Fax:720-283-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35379207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40684385Medicaid
COC804886Medicare PIN
CO40684385Medicaid