Individual
IAN A. KAMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301088704
MI
2085N0700X
Neuroradiology Physician
258700
MA
2085R0202X
Diagnostic Radiology Physician
260319
NY
2085R0202X
Diagnostic Radiology Physician
Primary
58053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257105
MEDICARE PIN
KS
05
—
1316151913
—
CO
01
—
561515YQ33
MEDICARE PIN
CO
01
—
561515YQ3L
MEDICARE PIN
CO
01
—
561515YQN9
MEDICARE PIN
CO
01
—
561515YQPG
MEDICARE PIN
CO
01
—
561515ZLJ3
MEDICARE PIN
CO
01
—
561515ZNTB
MEDICARE PIN
CO
01
—
KA324096
MEDICARE PIN
KS
01
—
NA1214118
MEDICARE PIN
NE
01
—
NA1215119
MEDICARE PIN
NE
01
—
NA2517097
MEDICARE PIN
NE
Enumeration date
05/10/2007
Last updated
03/29/2024
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