Individual
MITHU THARAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-2717
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0055188
CO
Other
Enumeration date
11/16/2010
Last updated
07/01/2015
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