Provider Demographics
NPI:1356929228
Name:FRIEDMAN, RYAN JEREMY (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:JEREMY
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 JACKSON ST # K624
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2762
Mailing Address - Country:US
Mailing Address - Phone:303-270-2913
Mailing Address - Fax:303-398-1806
Practice Address - Street 1:1400 JACKSON ST # K624
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2762
Practice Address - Country:US
Practice Address - Phone:303-270-2913
Practice Address - Fax:303-398-1806
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD221452207R00000X, 208M00000X
ORPG204902390200000X
COTL0010596390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist