Provider Demographics
NPI:1982624359
Name:KALFON, BARRY LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:LOUIS
Last Name:KALFON
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 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10350 E DAKOTA AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1314
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38832207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COKA678171OtherBCBS
CO12279OtherKAISER COMMERCIAL NUMBER
CO28321766Medicaid
COC300075OtherMEDICARE PTAN
COC300075OtherMEDICARE PTAN
COCO306832Medicare PIN
COKA678171OtherBCBS
COCK10984Medicare PIN
COH26105Medicare UPIN
COCOAAA1733Medicare PIN