Provider Demographics
NPI:1730163304
Name:KOVACHY, ROBIN J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:J
Last Name:KOVACHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7951 E. MAPLEWOOD AVENUE SUITE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-930-7800
Mailing Address - Fax:303-930-7860
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 270E
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-740-5800
Practice Address - Fax:303-740-5900
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24706207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01247063Medicaid
COCO40514Medicare PIN
COP00932970Medicare PIN
CO01247063Medicaid