Individual
GARETH ELI SHEMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4485 WADSWORTH BLVD, 105, WHEAT RIDGE, CO 80033-3318
(303) 424-6565
(303) 424-6843
Mailing address
4485 WADSWORTH BLVD, 105, WHEAT RIDGE, CO 80033-3318
(303) 424-6565
(303) 424-6843
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
34284
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
34284
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342849
—
CO
05
—
200494330B
—
KS
01
—
P00159906
RR MEDICARE PIN
CO
Enumeration date
08/14/2006
Last updated
02/25/2014
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