Individual
MAHIN B JALILFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 338-4545
Mailing address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA527
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007396
KAISER COMMERCIAL NUMBER
CO
01
—
348308
MEDICARE GROUP PTAN
CO
05
—
79858228
—
CO
01
—
C811604
MEDICARE GROUP NUMBER
CO
Enumeration date
10/14/2005
Last updated
08/23/2019
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