Organization
JAMSHID MIRZAEI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 202378, DENVER, CO 80220-8378
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
49409
CO
208M00000X
Hospitalist Physician
MD60036851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49409
CO LICENSE
CO
01
—
MD60036851
WA LICENSE
WA
Enumeration date
09/12/2013
Last updated
08/18/2021
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