Individual
DR. KATHANI A. VAHABZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
04-34524
KS
207N00000X
Dermatology Physician
Primary
DR.0052480
CO
207R00000X
Internal Medicine Physician
946602
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024891
KAISER COMMERCIAL NUMBER
CO
05
—
34071369
—
CO
Enumeration date
03/26/2007
Last updated
05/10/2021
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