Individual
SHABANA JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1360 S POTOMAC ST, 130, AURORA, CO 80012-4505
(303) 337-5575
(303) 745-6264
Mailing address
1360 S POTOMAC ST, 130, AURORA, CO 80012-4505
(303) 337-5575
(303) 745-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36284
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362847
—
CO
Enumeration date
05/17/2006
Last updated
02/11/2016
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