Individual
DR. BENJAMIN E KASSANOFF
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
2085R0202X
Diagnostic Radiology Physician
04-36295
KS
2085R0202X
Diagnostic Radiology Physician
25137
NE
2085R0202X
Diagnostic Radiology Physician
44004
CO
2085R0202X
Diagnostic Radiology Physician
J2121
TX
2085R0202X
Diagnostic Radiology Physician
MD17552
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0044004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160560A
—
OK
05
—
10025709000
—
NE
05
—
1356345680
—
CA
05
—
1356345680
—
MT
05
—
1356345680
—
NV
05
—
1356345680
—
WY
05
—
200360190A
—
KS
05
—
41522257
—
CO
05
—
84059792913
—
NE
05
—
91031087
—
NM
Enumeration date
05/31/2005
Last updated
03/29/2024
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