Provider Demographics
NPI:1053895169
Name:DAS, ANUPAMA ANUGRAHA (MD)
Entity type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:ANUGRAHA
Last Name:DAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANUPAMA
Other - Middle Name:KUMARADAS
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4700 HALE PKWY STE 380
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4023
Mailing Address - Country:US
Mailing Address - Phone:970-371-7236
Mailing Address - Fax:
Practice Address - Street 1:2938 HEARTHSTONE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-9124
Practice Address - Country:US
Practice Address - Phone:970-371-7236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG1843342083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine