Individual
DR. DEEPA RAVINDRANATH THAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
52377
CO
207W00000X
Ophthalmology Physician
A93046
CA
207W00000X
Ophthalmology Physician
E-5494
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023514
KAISER COMMERCIAL NUMBER
CO
01
—
08020014600
QUAL CHOICE
AR
05
—
166995001
—
AR
05
—
90779223
—
CO
Enumeration date
03/26/2007
Last updated
06/11/2021
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