| Enrique Vera Tudela, | |
|
11750 W 2nd Pl, Lakewood, CO 80228-1575 | |
| (720) 321-8040 | |
| (720) 321-8041 |
| Full Name | Enrique Vera Tudela |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11750 W 2nd Pl, Lakewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699335919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DR.0072234 (Colorado) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | R3149 (Arizona) | Secondary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Vera Tudela, 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 Ph: (720) 321-8040 | Enrique Vera Tudela, 11750 W 2nd Pl, Lakewood, CO 80228-1575 Ph: (720) 321-8040 |
Dr. Himal Shrestha, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12055 W 2nd Pl, Lakewood, CO 80228 Phone: 303-425-0300 Fax: 303-432-5071 | |
Jordan Michael Suchy, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 255 S Routt St Ste 250, Lakewood, CO 80228 Phone: 720-316-3830 | |
Charolette Lippolis Condon, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7550 W Yale Ave Ste A155, Lakewood, CO 80227 Phone: 720-980-2479 | |
Dr. Siamac Esfandi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11750 W 2nd Pl Ste 255, Lakewood, CO 80228 Phone: 720-321-8040 Fax: 720-321-8041 | |
Dr. Roberta M Richardson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 44 Union Blvd Ste 104, Lakewood, CO 80228 Phone: 303-284-2262 | |
Dr. Michael John Gower, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 255 S Routt St Ste 215, Lakewood, CO 80228 Phone: 720-712-0300 | |
Thomas Starkey Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1360 S Wadsworth Blvd, Suite 112, Lakewood, CO 80232 Phone: 855-384-2656 Fax: 888-389-8263 |