Individual
SIAVASH PANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5199
(951) 486-4000
(951) 486-5705
Mailing address
1801 16TH ST, GREELEY, CO 80631-5199
(970) 810-2026
(970) 810-2028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111488
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A111488
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.0062745
CO
207RP1001X
Pulmonary Disease Physician
A111488
CA
207RP1001X
Pulmonary Disease Physician
DR.0062745
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A111488
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DR.0062745
CO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA123699
PTAN
CA
Enumeration date
06/20/2007
Last updated
07/24/2019
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