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Individual

DR. KHASHAIAR CHAREPOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1017 W 7TH ST, WRAY, CO 80758-1420
(970) 332-4895
(970) 332-4665
Mailing address
1017 W 7TH ST, WRAY, CO 80758-1420
(970) 332-4895
(970) 332-4665

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39194
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79085814
CO
Enumeration date
08/08/2006
Last updated
07/21/2022
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