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 provides Family Medicine Physician services 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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