Individual
DR. KATYA BOGRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013644
KAISER-COMMERCIAL NUMBER
—
05
—
65127366
—
CO
Enumeration date
02/27/2007
Last updated
04/28/2021
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