Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 51162 | CO |
N | 207K00000X | Allergist & Immunologist | MD20146 | ME |
N | 208000000X | Pediatrician | 51162 | CO |
NPI | 1093941593 |
---|---|
Provider Name | Carah Bernice Santos |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 11/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59675331 | (05) | CO |