IndividualActive
Marchyarn Mahathanaruk, D.O.
NPI 1265674287 · Pain Medicine (Anesthesiology) Physician · Lakewood, CO
Provider details
- NPI number
- 1265674287
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DR.0054219 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11700 W 2nd Pl Ste 225
Lakewood, CO 80228-1707
Phone: (303) 661-4100
Fax: (720) 321-8969
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 800022
Kansas City, MO 64180-0022
Additional practice locations (1)
- 300 Union BlvdSuite 600Lakewood, CO 80228-1535Phone: (716) 536-2168
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.