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Contact Information

MICHAEL J TARAVELLA, MD
12605 E 16TH AVE
AURORA, CO80045-2545
 Phone: 720-848-2020
 Fax: 720-848-5079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MICHAEL J TARAVELLA · (Male)

NPI # 1477631737
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 03/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 27837
  • CO License # DR.0027837
  • CO Medicaid 01278373
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
  • UNIVERSITY OF COLORADO HOSPITAL ANSCHUTZ INPATIENT - (Acute Care)
    12605 EAST 16TH AVENUE
    AURORA, CO 80045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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