| Doctor Name: | DIPTI NEVREKAR |
| NPI Number: | 1619136942 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 207R00000X |
| Business Practice Address: | 1400 Jackson St Denver, CO - 802062761 |
| Business Phone Number: | 3033884461 |
| Business Fax Number: | 3032702174 |
| Mailing Address: | 1400 Jackson St, DENVER |
| State: | CO |
| Postal Code: | 802062761 |
| Phone Number: | 3033884461 |
| Fax Number: | 3032702174 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 01/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 207R00000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |