Individual
ROTEM LASZLO ABRAHAM ELGAVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10103 RIDGEGATE PKWY STE 125, LONE TREE, CO 80124-5525
(303) 790-8899
(303) 790-2810
Mailing address
11509 E DORADO AVE, ENGLEWOOD, CO 80111-4143
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
CDRH.0054026
CO
2084N0400X
Neurology Physician
2024-02480
NC
2084N0400X
Neurology Physician
26149
AL
2084N0400X
Neurology Physician
Primary
DR.0054026
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327379
—
CO
Enumeration date
05/17/2007
Last updated
10/08/2024
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