| Elena M Chebanova, MD, PC | |
|
9450 E Mississippi Ave # B Denver CO 80247-2307 | |
| (303) 696-1395 | |
| (303) 696-1606 |
| Full Name | Elena M Chebanova, MD, PC |
|---|---|
| Speciality | Clinic/center |
| Location | 9450 E Mississippi Ave # B, Denver, Colorado |
| Authorized Official Name and Position | Elena M Chebanova (OWNER/MD) |
| Authorized Official Contact | 3036961395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena M Chebanova, MD, PC 9450 E Mississippi Ave # B Denver CO 80247-2307 Ph: (303) 696-1395 | Elena M Chebanova, MD, PC 9450 E Mississippi Ave # B Denver CO 80247-2307 Ph: (303) 696-1395 |
| NPI Number | 1629262217 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629262217 | NPI | - | NPPES |
| 04021796 | Medicaid | CO | |
| C17631 | Other | CO | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35300 (Colorado) | Primary |
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