Provider Demographics
NPI:1386739258
Name:HAAS, ROMANA M (MD)
Entity type:Individual
Prefix:DR
First Name:ROMANA
Middle Name:M
Last Name:HAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROMANA
Other - Middle Name:
Other - Last Name:MOEZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1912
Mailing Address - Country:US
Mailing Address - Phone:303-329-7876
Mailing Address - Fax:303-329-7862
Practice Address - Street 1:4500 E. 9TH AVE
Practice Address - Street 2:SUITE 450
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3933
Practice Address - Country:US
Practice Address - Phone:303-329-7876
Practice Address - Fax:303-329-7862
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44145207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57037787Medicaid
COC810772Medicare PIN
CO804882Medicare PIN
COP00624693Medicare PIN