Tanya Aya Atagi, M.D.
Individual provider Active NPI Specialist · Lone Tree, CO
NPI 1386656601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386656601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 38153 (CO)
- Practice address
- 10099 Ridgegate Pkwy
Suite 430
Lone Tree, CO 80124-5531 - Phone
- (303) 327-7300
- Fax
- (303) 327-7304
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38153 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanya Atagi, MD Professional LLC | Single Specialty | Past | Accepting new patients |
| Philippe a Capraro MD PC | Specialist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 38153 | CO | Yes |
Addresses
Primary practice location
10099 Ridgegate Pkwy
Suite 430
Lone Tree, CO 80124-5531
Mailing address
10099 Ridgegate Pkwy
Suite 430
Lone Tree, CO 80124-5531
Phone (303) 327-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59036541 | Medicaid | CO |
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.