Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 45194 | CO |
N | 111NI0900X | Internist | 45194 | CO |
N | 207RC0200X | Critical Care Medicine | 45194 | CO |
Y | 207RP1001X | Pulmonary Disease | 45194 | CO |
NPI | 1073650347 |
---|---|
Provider Name | Dr. Samay A. Dalal |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80205-5422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027059 | KAISER COMMERCIAL NUMBER (01) | CO |
51600749 | (05) | CO |