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

Tanya Tivorsak MD PC

Organization Diagnostic Radiology Physician · NPI 1447507645

Tanya Tivorsak MD PC is a Diagnostic Radiology Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2425 Canyon Blvd Ste 150
Boulder, CO 80302-6736
Phone: (303) 440-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 50978 (CO)

Record details

NPI number1447507645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Tivorsak — Owner · (303) 440-1000
NPI enumeratedAugust 7, 2012
Last updated in NPPESJanuary 9, 2013
Mailing address2425 Canyon Blvd Ste 150, Boulder, CO 80302-6736

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