Individual
KHOSHAL LATIFZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 321-4161
(303) 321-4165
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14830264
—
CO
01
—
20326023101
PACIFICARE SECURE HORIZONS
—
01
—
P01154580
RR MEDICARE
—
Enumeration date
05/05/2008
Last updated
08/19/2013
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