Individual
LARRY KHASHAYAR MORTAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 W DAVIES AVE N, LITTLETON, CO 80120-5252
(720) 707-6363
Mailing address
155 INVERNESS DR W, STE. 200, ENGLEWOOD, CO 80112-5095
(720) 707-6363
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0056807
CO
Other
Enumeration date
06/30/2011
Last updated
07/16/2016
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