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Individual

DR. KARINA PRAHASTI HANDOYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1719 E 19TH AVE, IM HOSPITALIST, DENVER, CO 80218-1235
(720) 754-2296
(844) 669-1725
Mailing address
5600 S QUEBEC STREET, SUITE 312A, GREENWOOD VILLAGE, CO 80111-2208
(720) 754-2296
(844) 669-1725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0054005
CO
208M00000X
Hospitalist Physician
Primary
54005
CO
208M00000X
Hospitalist Physician
56350
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029680
KAISER COMMERCIAL NUMBER
CO
05
03928861
CO
Enumeration date
04/05/2011
Last updated
04/30/2025
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