Provider Demographics
NPI:1699784918
Name:KANIA, REGINA C (MD)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:C
Last Name:KANIA
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 1:9200 W CROSS DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-972-7337
Mailing Address - Fax:303-972-0026
Practice Address - Street 1:9200 W CROSS DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:303-972-7337
Practice Address - Fax:303-972-0026
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0036499208000000X
CO36499208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01364991Medicaid
CO01364991Medicaid