Provider Demographics
NPI:1538677976
Name:SOUTH DENVER PODIATRY LLC
Entity type:Organization
Organization Name:SOUTH DENVER PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KAROLINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VARNAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-515-2531
Mailing Address - Street 1:7780 S BROADWAY STE 190
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2641
Mailing Address - Country:US
Mailing Address - Phone:720-515-2531
Mailing Address - Fax:
Practice Address - Street 1:7780 S BROADWAY STE 190
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2641
Practice Address - Country:US
Practice Address - Phone:720-515-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPOD.0000701213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty