Chowanadisai, Montida

Chowanadisai, Montida is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Chowanadisai, Montida can be contacted via phone (303) 493-7000.

Contact Information

Primary practice address
12605 E 16Th Ave Aurora CO 80045-2545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50060 Colorado
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 50060 Colorado

Profile Details

NPI number 1407902000
LBN Legal business name Chowanadisai, Montida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated May 15th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407902000 NPPES
Colorado MEDICAID 31426212

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