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Organization
ELENA M CHEBANOVA, MD, PC
Active
Organization
ELENA M CHEBANOVA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA M CHEBANOVA M.D. (OWNER/MD)
(303) 696-1395
Entity
Organization
Contact information
Practice address
9450 E MISSISSIPPI AVE # B, DENVER, CO 80247-2307
(303) 696-1395
(303) 696-1606
Mailing address
9450 E MISSISSIPPI AVE # B, DENVER, CO 80247-2307
(303) 696-1395
(303) 696-1606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
35300
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021796
—
CO
01
—
C17631
MEDICARE
CO
Enumeration date
08/28/2007
Last updated
03/07/2023
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