# JAMSHID MIRZAEI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639504335
- **Authorized official:** LORI LABRECQUE (ACCTS MGR)
- **Authorized official phone:** (702) 453-3799

## Contact information

- **Practice address:** 501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
- **Practice address phone:** (702) 453-3799
- **Practice address fax:** (702) 453-5741
- **Mailing address:** PO BOX 202378, DENVER, CO 80220-8378
- **Mailing address phone:** (702) 453-3799
- **Mailing address fax:** (702) 453-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 49409 | CO | Yes |
| 208M00000X | Hospitalist Physician | MD60036851 | WA | — |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 08/18/2021