Individual
HOSSEIN MAYMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 E KEN PRATT BLVD STE 302, LONGMONT, CO 80504-5311
(303) 684-1900
(303) 684-1925
Mailing address
2030 MOUNTAIN VIEW AVE STE 210, LONGMONT, CO 80501-3180
(303) 684-1900
(303) 684-1925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28613
OK
207RH0003X
Hematology & Oncology Physician
Primary
DR.0059632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000158806
—
CO
Enumeration date
06/17/2011
Last updated
06/01/2023
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