Individual
DR. DMITRIY PANTELEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DR.0054092
CO
207LP3000X
Pediatric Anesthesiology Physician
Primary
DR.0054092
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029652
KAISER COMMERCIAL NUMBER
CO
05
—
9000102144
—
CO
Enumeration date
06/08/2010
Last updated
04/09/2026
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