Gavriel Roda
Internal Medicine in Aurora, CO. Individual provider (NPI-1).
NPI number1164008751
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1164008751
- Entity type
- Individual (NPI-1)
- Name
- Gavriel Roda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2021
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | TL.0009347 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
12631 E 17th AveAurora, CO 80045-2527
Phone 303-724-1784
Mailing address
12631 E 17th AveAurora, CO 80045-2527
Phone 303-724-1784
Other practice locations
777 Bannock St
Denver, CO 80204-4597
Denver, CO 80204-4597
Phone 303-436-4949 · Fax 303-436-4610
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