Provider Demographics
NPI:1043270994
Name:DANILENKO, DIANA R (MD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:R
Last Name:DANILENKO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:R
Other - Last Name:DANILENKO-DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12631 E 17TH AVE BOX B198-5
Mailing Address - Street 2:UNIVERSITY OF CO DEPT OF OBSTETRICS
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-6504
Mailing Address - Fax:303-724-2061
Practice Address - Street 1:1635 AURORA CT FL 3
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN30909207VM0101X, 2080N0001X
CODR.0062502207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E39735Medicare UPIN