Individual
DR. JAKE MICHAEL CHANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.D.
Contact information
Practice address
1960 N OGDEN ST STE 110, DENVER, CO 80218-3667
(303) 318-2460
Mailing address
1960 N OGDEN ST STE 110, DENVER, CO 80218-3667
(303) 318-2460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010018454
MO
207RC0000X
Cardiovascular Disease Physician
Primary
269696
NY
207RI0011X
Interventional Cardiology Physician
269696
NY
Other
Enumeration date
06/18/2010
Last updated
12/22/2018
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