Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 1014 | CO |
N | 207XS0106X | Orthopaedic Hand Surgeon | 1014 | CO |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 1014 | CO |
NPI | 1063603454 |
---|---|
Provider Name | Dr. Kyros Ipaktchi |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 10/03/2021 |