Provider Demographics
NPI:1174061592
Name:PRADHAN, SHREYASH (DO)
Entity type:Individual
Prefix:
First Name:SHREYASH
Middle Name:
Last Name:PRADHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2535 S DOWNING ST STE 410
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5851
Mailing Address - Country:US
Mailing Address - Phone:303-260-2740
Mailing Address - Fax:303-260-2741
Practice Address - Street 1:2535 S DOWNING ST STE 410
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5851
Practice Address - Country:US
Practice Address - Phone:303-260-2740
Practice Address - Fax:303-260-2741
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0075056208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery