Individual
MARK A EBADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 RAMPART WAY, SUITE 200, DENVER, CO 80230-6406
(720) 858-7600
(720) 858-7605
Mailing address
125 RAMPART WAY, SUITE 100, DENVER, CO 80230-6406
(720) 858-7600
(720) 858-7610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40389
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72620544
—
CO
Enumeration date
01/31/2006
Last updated
12/19/2007
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