Individual
DR. POONEH SHAHMOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47972
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2235
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019984
KAISER COMMERCIAL NUMBER
CO
05
—
69672784
—
CO
Enumeration date
10/10/2008
Last updated
10/04/2022
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