Individual
MS. ELENA M CHEBANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9450 E MISSISSIPPI AVE, #B, DENVER, CO 80247-2307
(303) 696-1376
(303) 696-1606
Mailing address
9450 E MISSISSIPPI AVE, #B, DENVER, CO 80247-2307
(303) 696-1376
(303) 696-1606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35300
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353002
—
CO
Enumeration date
07/01/2006
Last updated
03/07/2023
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