Provider Demographics
NPI:1487975579
Name:GOLDEN, LOUIS D (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:D
Last Name:GOLDEN
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2010-06-13
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00610432085N0700X, 2085R0202X
HIMD202132085R0202X
KS04-415292085R0202X
NE311592085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO681417OtherMEDICARE
CO690572OtherMEDICARE
NENA1214135OtherMEDICARE
NENA1215136OtherMEDICARE
CO681442OtherMEDICARE
KSKA3249112OtherMEDICARE PTAN
CO688557OtherMEDICARE
KS111257121OtherMEDICARE PTAN
CO688558OtherMEDICARE
CO690523OtherMEDICARE
NENA2517112OtherMEDICARE