Individual
JAMSHID MIRZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(303) 999-8179
(702) 453-5741
Mailing address
PO BOX 202378, DENVER, CO 80220-8378
(303) 999-8179
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0049409
CO
208M00000X
Hospitalist Physician
Primary
DR.0049409
CO
208M00000X
Hospitalist Physician
MD60036851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00201057
—
CO
01
—
P01378874
RAIL ROAD MEDICARE
CO
Enumeration date
02/26/2007
Last updated
01/19/2023
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