Madayag, Robert

Madayag, Robert is an individual health care provider with primary practice located at 3455 Lutheran Pkwy Suite 290, Wheat Ridge CO 80033-6028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madayag, Robert can be contacted via phone (303) 467-1400.

Contact Information

Primary practice address
3455 Lutheran Pkwy Suite 290 Wheat Ridge CO 80033-6028
Fax: (303) 467-1467
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39687 Colorado

Profile Details

NPI number 1336175751
LBN Legal business name Madayag, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Feb 3rd, 2015 - about 9 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 1336175751 NPPES
Colorado MEDICAID 04439597

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