Provider Demographics
NPI:1447051396
Name:FEDOROVA, DARYA OLEKSANDRIVNA (DO)
Entity type:Individual
Prefix:DR
First Name:DARYA
Middle Name:OLEKSANDRIVNA
Last Name:FEDOROVA
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:DASHA
Other - Middle Name:
Other - Last Name:FEDOROVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1400 S POTOMAC ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4507
Mailing Address - Country:US
Mailing Address - Phone:303-531-4910
Mailing Address - Fax:
Practice Address - Street 1:1400 S POTOMAC ST STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4507
Practice Address - Country:US
Practice Address - Phone:303-531-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program