Provider Demographics
NPI:1699732750
Name:TARKANIAN, CYNTHIA NOELLE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:NOELLE
Last Name:TARKANIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 KIPLING ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3923
Mailing Address - Country:US
Mailing Address - Phone:303-422-2305
Mailing Address - Fax:303-422-8605
Practice Address - Street 1:7950 KIPLING ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3923
Practice Address - Country:US
Practice Address - Phone:303-422-2305
Practice Address - Fax:303-422-8605
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C511738Medicare ID - Type Unspecified
H94594Medicare UPIN