Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Rtd Inc

Organization Family Medicine Physician · NPI 1912030743

Medical Rtd Inc is a Family Medicine Physician in Wheat Ridge, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7615 W 38th Ave Unit B-123
Wheat Ridge, CO 80033-6172
Phone: (303) 432-2776
Fax: (303) 432-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45108 (CO)

Record details

NPI number1912030743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatyana Datkhaeva — Owner Physician · (720) 540-7155
NPI enumeratedMarch 13, 2007
Last updated in NPPESMarch 7, 2023
Mailing address7615 W 38th Ave, Unit B-123, Wheat Ridge, CO 80033

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