Individual
TATYANA I DATKHAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6825 E TENNESSEE AVE STE 620, DENVER, CO 80224-1672
(720) 536-5126
(303) 432-2216
Mailing address
6825 E TENNESSEE AVE STE 620, DENVER, CO 80224-1672
(720) 536-5126
(303) 432-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMIES
CO
05
—
39276813
—
CO
01
—
45108 CO
FAMILY PRACTICE
CO
Enumeration date
03/13/2007
Last updated
03/07/2023
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