Isuani, Gustavo L

Isuani, Gustavo L is an individual health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Isuani, Gustavo L can be contacted via phone (303) 465-0401.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1131
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 41718 Colorado

Profile Details

NPI number 1073588778
LBN Legal business name Isuani, Gustavo L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 15th, 2021 - about 3 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 1073588778 NPPES
Colorado MEDICAID 66127009

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