Basic Information
| Provider Information | |||||||||
| NPI: | 1629218433 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COGANOW | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | KYLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 173862 | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802173862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033067783 | ||||||||
| FaxNumber: | 3033067753 | ||||||||
| Practice Location | |||||||||
| Address1: | 1719 E 19TH AVE | ||||||||
| Address2: | PRESBYTERIAN ST LUKES MEDICAL CENTER | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802181235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034362727 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2009 | ||||||||
| LastUpdateDate: | 10/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 036.131972 | IL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 0101248931 | VA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 250725 | NY | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | DR.0057269 | CO | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.