Individual
SHAHLA SADEGH MOUSAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 BROADWAY, DENVER, CO 80205-2526
(303) 293-2220
(303) 293-3977
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-8900
(303) 443-6476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50356
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60474742
—
CO
Enumeration date
07/22/2008
Last updated
11/10/2017
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