Provider Demographics
NPI:1427007335
Name:KATUBIG, BETH MARIE (MD)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:MARIE
Last Name:KATUBIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7880 GALILEO WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-1874
Mailing Address - Country:US
Mailing Address - Phone:303-921-4370
Mailing Address - Fax:303-921-4370
Practice Address - Street 1:7880 GALILEO WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-1874
Practice Address - Country:US
Practice Address - Phone:303-921-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35876207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01358761Medicaid
CO12538515Medicaid
COC464258Medicare PIN