Individual
DR. KUBAT RAHATBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0071721
CO
207Q00000X
Family Medicine Physician
R-11799
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029432
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/08/2020
Last updated
09/07/2023
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