Provider Demographics
NPI:1699875955
Name:MORARKA, SUMAN S (MD)
Entity type:Individual
Prefix:MS
First Name:SUMAN
Middle Name:S
Last Name:MORARKA
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 1:16782 E PRENTICE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015
Mailing Address - Country:US
Mailing Address - Phone:303-378-5770
Mailing Address - Fax:303-695-7973
Practice Address - Street 1:3090 S JAMAICA CT
Practice Address - Street 2:#206
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-378-5770
Practice Address - Fax:303-695-7973
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28787208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01287879Medicaid
C88331Medicare ID - Type Unspecified
CO01287879Medicaid