Organization
MUSHARRAF A. NIZAMI, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMEEL AHAMED (BILLING MANAGER)
(847) 227-0293
Entity
Organization
Contact information
Practice address
56 CLUB MANOR DR, SUITE 100, PUEBLO, CO 81008-1679
(719) 584-4767
Mailing address
56 CLUB MANOR DR, SUITE 100, PUEBLO, CO 81008-1679
(719) 584-4767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41416
CO
Other
Enumeration date
10/24/2013
Last updated
12/26/2013
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