Individual
AMITABH JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23231050
—
CO
Enumeration date
09/30/2006
Last updated
06/28/2016
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