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Individual

DR. MARIANA HARASAWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 MADISON ST STE 355, DENVER, CO 80206-5429
(303) 377-2020
Mailing address
6148 DALLAS ST, DENVER, CO 80238-4389
(720) 409-7171

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DR0065005
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
DR.0065005
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029387
KAISER COMMERCIAL NUMBER
CO
05
9000164548
CO
Enumeration date
04/08/2016
Last updated
04/26/2023
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