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Contact Information

THEODORE H STATHOS, MD
9224 TEDDY LANE
SUITE 200
LONE TREE, CO80124-6799
 Phone: 303-790-1515
 Fax: 303-790-1989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THEODORE H STATHOS · (Male)

NPI Number 1144265315
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 09/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 33634
  • CO Medicaid 01336346
  • OK Medicaid 200295450 A
  • WY Medicaid 1144265315
  • Other 1699895755 GROUP NPI
  • CO Other 04018362 GROUP MEDICAID
  • CO Other 33634 MEDICAL LICENSE
  • NE Other 84127410413 GROUP MEDICAID
  • NE Other 18498 MEDICAL LICENSE
  • OK Other 200293420 A GROUP MEDICAID
  • WY Other 109864100 GROUP MEDICAID
  • WY Other 8301A MEDICAL LICENSE
Hospital affiliation(s) Not Available
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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